Jacobson, Amy

Jacobson, Amy is an individual health care provider with primary practice located at 1901 Beaser Ave , Ashland WI 54806-3604. She recently has 3 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Assistive Technology Practitioner, Speech, Language and Hearing Service Providers / Assistive Technology Supplier, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Jacobson, Amy can be contacted via phone (715) 682-9311.

Contact Information

Primary practice address
1901 Beaser Ave Ashland WI 54806-3604
Phone: (715) 682-9311
Fax: (715) 682-9313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Assistive Technology Practitioner 231HA2400X 591-156 Wisconsin
Speech, Language and Hearing Service Providers / Assistive Technology Supplier 231HA2500X 591-156 Wisconsin
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 591-156 Wisconsin

Profile Details

NPI number 1134532245
LBN Legal business name Jacobson, Amy
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2014
Last updated Jun 26th, 2024 - about last year

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 1134532245 NPPES
Wisconsin MEDICAID 1134532245

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