Jacobson, Lisa Waite
Jacobson, Lisa Waite is an sole proprietor health care provider with primary practice located at 8872 Professional Dr , Cadillac MI 49601-8481. She recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as her primary health care specialty. Jacobson, Lisa Waite can be contacted via phone (231) 779-6260.Contact Information
Primary practice address
8872 Professional Dr
Cadillac MI 49601-8481
Phone: (231) 779-6260
Fax: (231) 779-6264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | 5101013549 | Michigan |
Profile Details
| NPI number | 1922073766 |
|---|---|
| LBN Legal business name | Jacobson, Lisa Waite |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Oct 24th, 2007 - about 19 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 | 1922073766 | NPPES |
| Michigan | MEDICAID | 4420424 |
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