Richard Allen Jacobs in Moscow - Specialist
Richard Allen Jacobs - NPI 1457333668
Richard Allen Jacobs is a Specialist in Moscow, Idaho. Richard Allen Jacobs practices all healthcare services and medical treatments related to Specialist. The NPI Number for Richard Allen Jacobs is 1457333668. The last update date is 2010-06-28.
Richard Allen Jacobs's current location address is 619 S. Washington St., Moscow, Idaho. You can contact this provider via phone number 2088821522 and fax number 2088821527. The mailing address for Richard Allen Jacobs is 619 S. Washington St., Moscow, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Allen Jacobs |
|---|---|
| Address | 619 S. Washington St., Moscow, Idaho |
| Phone Number | 2088821522 |
| Fax Number | 2088821527 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1457333668 |
|---|---|
| Provider Enumeration Date | 2005-11-15 |
| Last Updated Date | 2010-06-28 |
Provider Mailing Address Detail
| Address | 619 S. Washington St. |
|---|---|
| City | Moscow |
| State | Idaho (ID) |
| Post Code | 838430000 |
| Phone Number | 2088821522 |
| Fax Number | 2088821527 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | M3665 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 362964260 | ID | TAX ID |
Post Comment/ Review Below
What is the unique identifier code issued to Richard Allen Jacobs by the Centers for Medicare & Medicaid Services?
The Richard Allen Jacobs has been assigned the NPI (National Provider Identifier) 1457333668. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Richard Allen Jacobs is geographically located?
The Richard Allen Jacobs is physically situated at the following location: 619 S. Washington St., Moscow, ID, 838430000.
What is Richard Allen Jacobs's specialized field of practice, and what is the corresponding taxonomy classification code?
The Richard Allen Jacobs's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1457333668 to Richard Allen Jacobs?
The Centers for Medicare & Medicaid Services originally issued the 1457333668 to Richard Allen Jacobs on 2005-11-15.
When was the information pertaining to Richard Allen Jacobs most recently updated or revised?
The details related to Richard Allen Jacobs, including its address, specialty, and other relevant information, were last updated or revised on 2010-06-28.
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