Jacobs, Michael Ralph

Jacobs, Michael Ralph is an individual health care provider with primary practice located at 2825 W 42Nd Ave , Anchorage AK 99517-2830. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Jacobs, Michael Ralph can be contacted via phone (907) 243-5130.

Contact Information

Primary practice address
2825 W 42Nd Ave Anchorage AK 99517-2830
Phone: (907) 243-5130
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1245891571
LBN Legal business name Jacobs, Michael Ralph
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2019
Last updated Jun 26th, 2019 - about 7 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 1245891571 NPPES
Other 101YA0400X NA

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