Jacobson, Matthew
Jacobson, Matthew is an individual health care provider with primary practice located at 788 Prince Ave Ste C , Athens GA 30606-5912. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Jacobson, Matthew can be contacted via phone (706) 543-2111.Contact Information
Primary practice address
788 Prince Ave Ste C
Athens GA 30606-5912
Phone: (706) 543-2111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 096.004055 | Illinois |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT014777 | Georgia |
Profile Details
| NPI number | 1992161178 |
|---|---|
| LBN Legal business name | Jacobson, Matthew |
| Credentials | PT, DPT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2016 |
| Last updated | Aug 20th, 2020 - about 5 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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