Jacobson, Karen Rita

Jacobson, Karen Rita is an sole proprietor health care provider with primary practice located at 725 Albany St Shapiro 9, Suite B, Boston MA 02118-2526. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Jacobson, Karen Rita can be contacted via phone (617) 414-4290.

Contact Information

Primary practice address
725 Albany St Shapiro 9, Suite B Boston MA 02118-2526
Phone: (617) 414-4290
Fax: (617) 414-4285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 229163 Massachusetts
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 229163 Massachusetts

Profile Details

NPI number 1164407623
LBN Legal business name Jacobson, Karen Rita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2005
Last updated Jul 15th, 2014 - about 12 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 1164407623 NPPES
Massachusetts MEDICAID 110073936A

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