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Contact Information

JUSTIN A JACOBSON, MD
2831 FORT MISSOULA ROAD
SUITE 232
MISSOULA, MT59804
 Phone: 406-728-6101
 Fax: 406-721-3278
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JUSTIN A JACOBSON · (Male)

NPI Number 1578572129
Status Active
Credentials MD
Entity Individual
Enumeration date 08/05/2006
Last updated 01/30/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 104281
  • MN License # 52250
  • MT License # 12306
  • IA Medicaid ENROLLED
  • MN Medicaid ENROLLED
  • MT Medicaid 157857219
Hospital affiliation(s)
  • COMMUNITY MEDICAL CENTER INC - (Acute Care)
    2827 FORT MISSOULA RD
    MISSOULA, MT 59804
  • MARCUS DALY MEMORIAL HOSPITAL - CAH - (Critical Access)
    1200 WESTWOOD DR
    HAMILTON, MT 59840
  • ST PATRICK HOSPITAL - (Acute Care)
    500 W BROADWAY
    MISSOULA, MT 59806
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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