Leslie W. Jacobson, Md Pa

LBN: Leslie W. Jacobson, Md Pa
Leslie W. Jacobson, Md Pa is an health care organization with primary practice located at 6533 Drew Ave S , Edina MN 55435-2103. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Leslie W. Jacobson, Md Pa can be contacted via phone (952) 927-7138, or through Jacobson, Leslie Walter via phone (952) 927-7138.

Contact Information

Primary practice address
6533 Drew Ave S Edina MN 55435-2103
Phone: (952) 927-7138
Fax: (952) 924-4021
Website:
Map and Directions
Authorized official contact:
Name: Jacobson, Leslie Walter Doctor of Medicine (MD)
Phone: (952) 927-7138

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 14592 Minnesota

Profile Details

NPI number 1376747808
LBN Legal business name Leslie W. Jacobson, Md Pa
DBA Doing business as
Authorized official Jacobson, Leslie Walter Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2007
Last updated Nov 28th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376747808 NPPES
Minnesota MEDICAID 767265900

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