Jacobsen, Renee Louise Ann

Jacobsen, Renee Louise Ann is an individual health care provider with primary practice located at 191 West Burton Mesa Blvd Suite B, Lompoc CA 93436. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Jacobsen, Renee Louise Ann can be contacted via phone (805) 733-4542.

Contact Information

Primary practice address
191 West Burton Mesa Blvd Suite B Lompoc CA 93436
Phone: (805) 733-4542
Fax: (805) 733-4392
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP13476 California

Profile Details

NPI number 1174698856
LBN Legal business name Jacobsen, Renee Louise Ann
Credentials MS CCC SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Jul 8th, 2007 - about 19 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 1174698856 NPPES
California Other 0663623 TRIWEST
California MEDICAID GSP000390 TRIWEST

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