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Contact Information

BRANT JACOBSON
11680 S 153RD WEST AVE
SAPULPA, OK74066-8564
 Phone: 830-998-3547
 Fax: 918-512-6320
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Other Service Providers

175T00000X
 

Religious Nonmedical Practitioner

374K00000X
Indicates primary specialty

NPI Profile & details for BRANT JACOBSON · (Male)

NPI # 1851982441
Status Active
Credentials
Entity Individual
Enumeration date 01/27/2021
Last updated 07/27/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers Not Available
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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