Jacobson, Earl
Jacobson, Earl is an sole proprietor health care provider with primary practice located at 3650 S Eastern Ave # 200, Las Vegas NV 89169-3345. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Jacobson, Earl can be contacted via phone (702) 384-2544.Contact Information
Primary practice address
3650 S Eastern Ave # 200
Las Vegas NV 89169-3345
Phone: (702) 384-2544
Fax: (702) 384-8528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 43 | Nevada |
Profile Details
| NPI number | 1487682662 |
|---|---|
| LBN Legal business name | Jacobson, Earl |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Apr 1st, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487682662 | NPPES |
| Nevada | MEDICAID | 002102804 | |
| Nevada | Other | 756480688 |
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