Jakobsen, Lars Jakob
Jakobsen, Lars Jakob is an individual health care provider with primary practice located at 3111 Professional Dr , Auburn CA 95603-2456. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jakobsen, Lars Jakob can be contacted via phone (530) 885-5618.Contact Information
Primary practice address
3111 Professional Dr
Auburn CA 95603-2456
Phone: (530) 885-5618
Fax: (530) 889-0636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G077316 | California |
Profile Details
| NPI number | 1417933110 |
|---|---|
| LBN Legal business name | Jakobsen, Lars Jakob |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Dec 15th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417933110 | NPPES |
| California | MEDICAID | 00G773160 |
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