Jacobson, Alice M

Jacobson, Alice M is an sole proprietor health care provider with primary practice located at 214 E 23Rd St , Cheyenne WY 82001-3748. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Jacobson, Alice M can be contacted via phone (307) 634-2273.

Contact Information

Primary practice address
214 E 23Rd St Cheyenne WY 82001-3748
Phone: (307) 634-2273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PT852 Wyoming

Profile Details

NPI number 1952949240
LBN Legal business name Jacobson, Alice M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2019
Last updated Dec 17th, 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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