Jacobson, Geraldine M
Jacobson, Geraldine M is an individual health care provider with primary practice located at 12902 Usf Magnolia Dr , Tampa FL 33612-9416. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Jacobson, Geraldine M can be contacted via phone (813) 745-7365.Contact Information
Primary practice address
12902 Usf Magnolia Dr
Tampa FL 33612-9416
Phone: (813) 745-7365
Fax: (813) 449-8618
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 34500 | Iowa |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 24703 | West Virginia |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | ME50372 | Florida |
Profile Details
| NPI number | 1164423232 |
|---|---|
| LBN Legal business name | Jacobson, Geraldine M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Jan 23rd, 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 | 1164423232 | NPPES |
| Iowa | Other | 44316 | WELLMARK BCBS |
| Iowa | MEDICAID | 3810022378 | WELLMARK BCBS |
| Iowa | MEDICAID | 0254359 | WELLMARK BCBS |
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