Jacobson, Cori L

Jacobson, Cori L is an individual health care provider with primary practice located at Preston Place I 5180 Chappel Drive Building B, Perrysburg OH 43551-7288. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Jacobson, Cori L can be contacted via phone (567) 585-0265.

Contact Information

Primary practice address
Preston Place I 5180 Chappel Drive Building B Perrysburg OH 43551-7288
Phone: (567) 585-0265
Fax: (419) 873-6188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 06073 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X NM-06073 Ohio

Profile Details

NPI number 1093713992
LBN Legal business name Jacobson, Cori L
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Nov 3rd, 2023 - about 3 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 1093713992 NPPES
California Other 344428256 BEECH STREET
California Other 000000201559 BEECH STREET
California MEDICAID 2223534 BEECH STREET
California Other 05225 BEECH STREET
California Other 344428256072 BEECH STREET
California Other 344428256 BEECH STREET
California MEDICAID 4285606 BEECH STREET

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