Jacobson, Hal M
Jacobson, Hal M is an individual health care provider with primary practice located at 1920 Don Wickham Dr Suite130, Clermont FL 34711-1918. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Jacobson, Hal M can be contacted via phone (352) 243-9709.Contact Information
Primary practice address
1920 Don Wickham Dr Suite130
Clermont FL 34711-1918
Phone: (352) 243-9709
Fax: (352) 243-8703
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | ME0038736 | Florida |
Profile Details
| NPI number | 1669465274 |
|---|---|
| LBN Legal business name | Jacobson, Hal M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Jun 3rd, 2015 - about 10 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 | 1669465274 | NPPES |
| Florida | MEDICAID | 068606900 | |
| Florida | Other | 110028619 |
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