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
Fax: (530) 889-0636
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417933110 NPPES
California MEDICAID 00G773160

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