Jacobson, Brian C.

Jacobson, Brian C. is an individual health care provider with primary practice located at 15 Parkman St # Street5 , Boston MA 02114-3117. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Jacobson, Brian C. can be contacted via phone (617) 724-6907.

Contact Information

Primary practice address
15 Parkman St # Street5 Boston MA 02114-3117
Phone: (617) 724-6907
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 153606 Massachusetts
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 153606 Massachusetts

Profile Details

NPI number 1255389821
LBN Legal business name Jacobson, Brian C.
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jul 7th, 2020 - about 6 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 1255389821 NPPES
Massachusetts MEDICAID 110060654A

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