Jacobson, Howard A

Jacobson, Howard A is an sole proprietor health care provider with primary practice located at 1025 Verdae Blvd Suite A, Greenville SC 29607-4032. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jacobson, Howard A can be contacted via phone (864) 546-7315.

Contact Information

Primary practice address
1025 Verdae Blvd Suite A Greenville SC 29607-4032
Phone: (864) 546-7315
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1110 South Carolina

Profile Details

NPI number 1366453110
LBN Legal business name Jacobson, Howard A
Credentials PH D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2006
Last updated Dec 22nd, 2009 - about 17 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 1366453110 NPPES
Tennessee Other 2009378 BCBST
Tennessee MEDICAID 3682434 BCBST
Tennessee Other 4064458 BCBST

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