Jacobsen, Jace Douglas

Jacobsen, Jace Douglas is an sole proprietor health care provider with primary practice located at 6442 Gloria Dr , Huntington Beach CA 92647-4226. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Jacobsen, Jace Douglas can be contacted via phone (805) 814-2463.

Contact Information

Primary practice address
6442 Gloria Dr Huntington Beach CA 92647-4226
Phone: (805) 814-2463
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 832119 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 95001352 California

Profile Details

NPI number 1871116004
LBN Legal business name Jacobsen, Jace Douglas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2020
Last updated Oct 12th, 2023 - 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.

Request for update

Popular Providers