Jacobson, Ellen R

Jacobson, Ellen R is an individual health care provider with primary practice located at 3601 The Vanderbilt Clinic , Nashville TN 37232-8573. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Jacobson, Ellen R can be contacted via phone (615) 322-5000.

Contact Information

Primary practice address
3601 The Vanderbilt Clinic Nashville TN 37232-8573
Phone: (615) 322-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD0000019503 Tennessee
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 19503 Tennessee

Profile Details

NPI number 1962456772
LBN Legal business name Jacobson, Ellen R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jun 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962456772 NPPES
Tennessee Other 6049042 BCBS

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