Jacobson, Sue
Jacobson, Sue is an individual health care provider with primary practice located at 6221 Richards Dr , Shawnee KS 66216-1724. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Jacobson, Sue can be contacted via phone (913) 248-1943.Contact Information
Primary practice address
6221 Richards Dr
Shawnee KS 66216-1724
Phone: (913) 248-1943
Fax: (913) 248-1994
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 260 | Kansas |
Profile Details
| NPI number | 1164836581 |
|---|---|
| LBN Legal business name | Jacobson, Sue |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2014 |
| Last updated | Jun 13th, 2014 - about 12 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 | 1164836581 | NPPES |
| Kansas | MEDICAID | 100106710 I |
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