Jacobson, Rena L.

Jacobson, Rena L. is an individual health care provider with primary practice located at 341 State Rd , Dartmouth MA 02747-4319. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Jacobson, Rena L. can be contacted via phone (508) 996-0389.

Contact Information

Primary practice address
341 State Rd Dartmouth MA 02747-4319
Phone: (508) 996-0389
Fax: (508) 997-0429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 566 Massachusetts

Profile Details

NPI number 1407835481
LBN Legal business name Jacobson, Rena L.
Credentials AUD, FAAA, CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Mar 12th, 2020 - about 6 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 1407835481 NPPES
Massachusetts MEDICAID 5104530

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