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Contact Information

HART JACOBSEN, MD
30 PHEASANT RUN DR
LANDER, WY82520-9783
 Phone: 307-332-3115
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for HART JACOBSEN · (Male)

NPI # 1487980017
Status Active
Credentials MD
Entity Individual
Enumeration date 11/03/2009
Last updated 11/03/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • WY License # 2675A
Hospital affiliation(s) Not Available
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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