Jacobson, Bethanne Thumm

Jacobson, Bethanne Thumm is an individual health care provider with primary practice located at 2807 Neuse Blvd Ste 5, New Bern NC 28562-2815. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Jacobson, Bethanne Thumm can be contacted via phone (252) 636-0112.

Contact Information

Primary practice address
2807 Neuse Blvd Ste 5 New Bern NC 28562-2815
Phone: (252) 636-0112
Fax: (252) 634-9778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3037 North Carolina

Profile Details

NPI number 1396724936
LBN Legal business name Jacobson, Bethanne Thumm
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Oct 19th, 2010 - about 16 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 1396724936 NPPES
North Carolina Other 1396724936 HEALTH NET TRICARE FEDERAL SERVICES
North Carolina Other 135A8 HEALTH NET TRICARE FEDERAL SERVICES
North Carolina MEDICAID 6000484 HEALTH NET TRICARE FEDERAL SERVICES

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