Jacobsen, Judith Ann
Jacobsen, Judith Ann is an individual health care provider with primary practice located at 1330 Rockefeller Ave , Everett WA 98201-1684. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Jacobsen, Judith Ann can be contacted via phone (425) 339-5424.Contact Information
Primary practice address
1330 Rockefeller Ave
Everett WA 98201-1684
Phone: (425) 339-5424
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 23504 | Washington |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD00023504 | Washington |
Profile Details
| NPI number | 1609815349 |
|---|---|
| LBN Legal business name | Jacobsen, Judith Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Apr 3rd, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609815349 | NPPES |
| Washington | MEDICAID | 1014360 |
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