Ellen Jacobsen, M.D. in Urbana - Dermatology
Ellen Jacobsen, M.D. - NPI 1942477369
Ellen Jacobsen, M.D. is a Dermatology in Urbana, Illinois. Ellen Jacobsen, M.D. practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Ellen Jacobsen, M.D. is 1942477369. The last update date is 2008-05-14.
Ellen Jacobsen, M.D.'s current location address is 407 W Springfield Ave, Urbana, Illinois. You can contact this provider via phone number 2173677546 and fax number 2173672240. The mailing address for Ellen Jacobsen, M.D. is 407 W Springfield Ave, Urbana, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ellen Jacobsen, M.D. |
|---|---|
| Address | 407 W Springfield Ave, Urbana, Illinois |
| Phone Number | 2173677546 |
| Fax Number | 2173672240 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jacobsen Ellen |
| Credentials | M.D. |
| Telephone Number | 2173677546 |
NPI Number Detail
| NPI Number | 1942477369 |
|---|---|
| Provider Enumeration Date | 2008-05-14 |
| Last Updated Date | 2008-05-14 |
Provider Mailing Address Detail
| Address | 407 W Springfield Ave |
|---|---|
| City | Urbana |
| State | Illinois (IL) |
| Post Code | 618018809 |
| Phone Number | 2173677546 |
| Fax Number | 2173672240 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Post Comment/ Review Below
What is the Ellen Jacobsen, M.D.'s unique identification number?
The Ellen Jacobsen, M.D. has been assigned the NPI (National Provider Identifier) Number 1942477369 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Ellen Jacobsen, M.D.'s facilities are situated?
The facilities of Ellen Jacobsen, M.D. are physically located at the following address: 407 W Springfield Ave, Urbana, IL, 618018809.
What is Ellen Jacobsen, M.D.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ellen Jacobsen, M.D. is Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1942477369 to Ellen Jacobsen, M.D.?
The Centers for Medicare & Medicaid Services originally issued the 1942477369 to Ellen Jacobsen, M.D. on 2008-05-14.
When was the Ellen Jacobsen, M.D.'s information last updated?
The Ellen Jacobsen, M.D.'s information was last updated on 2008-05-14.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC