Kevin Jacobs is a Pediatrics in East Lansing, Michigan. Kevin Jacobs practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kevin Jacobs is 1801840657. The last update date is 2021-01-12.
Kevin Jacobs's current location address is 1905 Abbot Rd Ste 1, East Lansing, Michigan. You can contact this provider via phone number 5175808733 and fax number 5173371854. The mailing address for Kevin Jacobs is 1905 Abbot Rd Ste 1, East Lansing, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Jacobs |
|---|---|
| Address | 1905 Abbot Rd Ste 1, East Lansing, Michigan |
| Phone Number | 5175808733 |
| Fax Number | 5173371854 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1801840657 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2021-01-12 |
Provider Mailing Address Detail
| Address | 1905 Abbot Rd Ste 1 |
|---|---|
| City | East Lansing |
| State | Michigan (MI) |
| Post Code | 488238571 |
| Phone Number | 5175808733 |
| Fax Number | 5173371854 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 152Wp0200X |
| Licence No | 4901004013 |
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Definition: Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 22-70122 | MI | PHP-MEDICAID | |
| 86-4792288 | MI | -- | |
| 22-00122 | MI | PHYSICANS HEALTH PLAN-PHP | |
| 900C313100 | MI | BCBS | |
| 1019456 | MI | MCLAREN | |
| 94-4318770 | MI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kevin Jacobs?
The Kevin Jacobs has been issued the NPI (National Provider Identifier) 1801840657 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Kevin Jacobs?
The Kevin Jacobs is situated at 1905 Abbot Rd Ste 1, in the city of East Lansing, state of MI, with the zip code 488238571.
What is Kevin Jacobs's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kevin Jacobs is Pediatrics, and the taxonomy code that categorizes this field of expertise is 152Wp0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1801840657 to Kevin Jacobs?
The Kevin Jacobs received its 1801840657 assignment from the Centers for Medicare & Medicaid Services on 2006-05-19.
As of what date were the Kevin Jacobs's details last updated?
The information pertaining to the Kevin Jacobs, including its address, specialty, and other details, was most recently updated on 2021-01-12.