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Contact Information

STEPHEN K JACOBSEN
THE JOHNS HOPKINS HOSPITAL
600 NORTH WOLFE STREET
BALTIMORE, MD21287-0001
 Phone: 410-955-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for STEPHEN K JACOBSEN · (Male)

NPI Number 1679843585
Status Active
Credentials
Entity Individual
Enumeration date 01/09/2012
Last updated 07/13/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 336106572
Hospital affiliation(s)
  • CENTRACARE HEALTH SYSTEM - MELROSE HOSPITAL - (Critical Access)
    525 WEST MAIN STREET
    MELROSE, MN 56352
  • ST CLOUD HOSPITAL - (Acute Care)
    1406 6TH AVE NORTH
    SAINT CLOUD, MN 56303
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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