Jacobson, Mercedes
Jacobson, Mercedes is an individual health care provider with primary practice located at 3509 N Broad St , Philadelphia PA 19140-4105. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Jacobson, Mercedes can be contacted via phone (215) 707-3040.Contact Information
Primary practice address
3509 N Broad St
Philadelphia PA 19140-4105
Phone: (215) 707-3040
Fax: (215) 707-8235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD043963E | Pennsylvania |
Profile Details
| NPI number | 1770571754 |
|---|---|
| LBN Legal business name | Jacobson, Mercedes |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | May 1st, 2018 - about 8 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 | 1770571754 | NPPES |
| Pennsylvania | MEDICAID | 0014116190008 |
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