Jacobson, Geri Newman

Jacobson, Geri Newman is an individual health care provider with primary practice located at 1900 Centracare Cir #1300 Centra Care Clinic Women'S & Childrens, St Cloud MN 56303-5000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jacobson, Geri Newman can be contacted via phone (320) 654-3610.

Contact Information

Primary practice address
1900 Centracare Cir #1300 Centra Care Clinic Women'S & Childrens St Cloud MN 56303-5000
Phone: (320) 654-3610
Fax: (505) 722-1268
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 39068 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 53579 Minnesota

Profile Details

NPI number 1558320044
LBN Legal business name Jacobson, Geri Newman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jan 24th, 2012 - about 14 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 1558320044 NPPES
Arizona MEDICAID 477225
Arizona MEDICAID 000Z9493

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