Jacobson, Paul Allen
Jacobson, Paul Allen is an sole proprietor health care provider with primary practice located at 4044 W Lake Mary Blvd #410, Lake Mary FL 32746-2012. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Jacobson, Paul Allen can be contacted via phone (407) 718-8000.Contact Information
Primary practice address
4044 W Lake Mary Blvd #410
Lake Mary FL 32746-2012
Phone: (407) 718-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 38737 | Florida |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | ME38737 | Florida |
Profile Details
| NPI number | 1821131780 |
|---|---|
| LBN Legal business name | Jacobson, Paul Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Feb 17th, 2012 - about 14 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 | 1821131780 | NPPES |
| Florida | MEDICAID | 040565500 |
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