Jacobson, Kaitlyn Marie
Jacobson, Kaitlyn Marie is an sole proprietor health care provider with primary practice located at 1229 Porto Grande Unit 2 , Diamond Bar CA 91765-4125. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Jacobson, Kaitlyn Marie can be contacted via phone (530) 414-8277.Contact Information
Primary practice address
1229 Porto Grande Unit 2
Diamond Bar CA 91765-4125
Phone: (530) 414-8277
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1326786716 |
|---|---|
| LBN Legal business name | Jacobson, Kaitlyn Marie |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2022 |
| Last updated | May 25th, 2022 - about 4 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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