Ellen Jacobsen, M.D.

LBN: Ellen Jacobsen, M.D.
Ellen Jacobsen, M.D. is an health care organization with primary practice located at 407 W Springfield Ave , Urbana IL 61801-8809. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Ellen Jacobsen, M.D. can be contacted via phone (217) 367-7546, or through Jacobsen, Ellen via phone (217) 367-7546.

Contact Information

Primary practice address
407 W Springfield Ave Urbana IL 61801-8809
Phone: (217) 367-7546
Fax: (217) 367-2240
Website:
Map and Directions
Authorized official contact:
Name: Jacobsen, Ellen Doctor of Medicine (MD)
Phone: (217) 367-7546

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1942477369
LBN Legal business name Ellen Jacobsen, M.D.
DBA Doing business as
Authorized official Jacobsen, Ellen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2008
Last updated May 14th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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