Patti L Jacobson is a Chiropractor in Ithaca, New York. Patti L Jacobson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Patti L Jacobson is 1427024009. The last update date is 2013-09-25.
Patti L Jacobson's current location address is 122 West Court St, Ithaca, New York. You can contact this provider via phone number 6072737682 and fax number 6072731738. The mailing address for Patti L Jacobson is 122 West Court St, Ithaca, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patti L Jacobson |
|---|---|
| Address | 122 West Court St, Ithaca, New York |
| Phone Number | 6072737682 |
| Fax Number | 6072731738 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1427024009 |
|---|---|
| Provider Enumeration Date | 2006-02-24 |
| Last Updated Date | 2013-09-25 |
Provider Mailing Address Detail
| Address | 122 West Court St |
|---|---|
| City | Ithaca |
| State | New York (NY) |
| Post Code | 14850 |
| Phone Number | 6072737682 |
| Fax Number | 6072731738 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 5961 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| RB2133 | NY | MEDICARE INDIVIDUAL PTAN | |
| BA1012 | NY | MEDICARE GROUP PTAN |
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What is the unique 10-digit identification code assigned to Patti L Jacobson by the Centers for Medicare & Medicaid Services?
The Patti L Jacobson has been issued the NPI (National Provider Identifier) 1427024009, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Patti L Jacobson's physical address?
The Patti L Jacobson is physically located at 122 West Court St, in the city of Ithaca, NY, with the postal code 14850.
What is Patti L Jacobson'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 Patti L Jacobson is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1427024009 to Patti L Jacobson?
The Patti L Jacobson received its 1427024009 assignment from the Centers for Medicare & Medicaid Services on 2006-02-24.
As of what date were the Patti L Jacobson's details last updated?
The information pertaining to the Patti L Jacobson, including its address, specialty, and other details, was most recently updated on 2013-09-25.
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