Jacobson, Steven D
Jacobson, Steven D is an individual health care provider with primary practice located at 25A June St Ste 111 , Sanford ME 04073-2642. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jacobson, Steven D can be contacted via phone (207) 324-4310.Contact Information
Primary practice address
25A June St Ste 111
Sanford ME 04073-2642
Phone: (207) 324-4310
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 100177 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 27201 | Maine |
Profile Details
| NPI number | 1558369702 |
|---|---|
| LBN Legal business name | Jacobson, Steven D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Jun 23rd, 2023 - about 2 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 | 1558369702 | NPPES |
| Missouri | Other | 110230748 | CHAMPUS |
| Missouri | Other | 110230748 | CHAMPUS |
| Missouri | Other | 100236 | CHAMPUS |
| Missouri | Other | 10292 | CHAMPUS |
| Missouri | Other | 171748 | CHAMPUS |
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