Jacobsen, Tracy

Jacobsen, Tracy is an sole proprietor health care provider with primary practice located at 2108 Taylor Ave Suite 1100, Norfolk NE 68701-4641. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Jacobsen, Tracy can be contacted via phone (407) 371-7545.

Contact Information

Primary practice address
2108 Taylor Ave Suite 1100 Norfolk NE 68701-4641
Phone: (407) 371-7545
Fax: (402) 379-0583
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 460 Nebraska

Profile Details

NPI number 1528170297
LBN Legal business name Jacobsen, Tracy
Credentials MA OTRL
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jun 5th, 2008 - about 17 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 1528170297 NPPES
Nebraska Other 02429 BCBS
Nebraska Other P00472371 BCBS

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