Jacobson, Brant

Jacobson, Brant is an individual health care provider with primary practice located at 11680 S 153Rd West Ave , Sapulpa OK 74066-8564. He recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Religious Nonmedical Practitioner, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Jacobson, Brant can be contacted via phone (830) 998-3547.

Contact Information

Primary practice address
11680 S 153Rd West Ave Sapulpa OK 74066-8564
Phone: (830) 998-3547
Fax: (918) 512-6320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Religious Nonmedical Practitioner 374K00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1851982441
LBN Legal business name Jacobson, Brant
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2021
Last updated Jul 27th, 2023 - about 2 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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