Mark Edward Jacoby in Grand Rapids - Specialist
Mark Edward Jacoby - NPI 1871544551
Mark Edward Jacoby is a Specialist in Grand Rapids, Michigan. Mark Edward Jacoby practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mark Edward Jacoby is 1871544551. The last update date is 2021-02-17.
Mark Edward Jacoby's current location address is 2900 Bradford St Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6168855000 and fax number 6164866702. The mailing address for Mark Edward Jacoby is 2900 Bradford St Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Edward Jacoby |
|---|---|
| Address | 2900 Bradford St Ne, Grand Rapids, Michigan |
| Phone Number | 6168855000 |
| Fax Number | 6164866702 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1871544551 |
|---|---|
| Provider Enumeration Date | 2006-05-15 |
| Last Updated Date | 2021-02-17 |
Provider Mailing Address Detail
| Address | 2900 Bradford St Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 4952564270 |
| Phone Number | 6168855000 |
| Fax Number | 6164866702 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 13067 |
|
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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark Edward Jacoby by the Centers for Medicare & Medicaid Services?
The Mark Edward Jacoby has been issued the NPI (National Provider Identifier) 1871544551, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mark Edward Jacoby?
The Mark Edward Jacoby is physically situated at 2900 Bradford St Ne, in the city of Grand Rapids, state of MI, with the postal code 4952564270.
What is Mark Edward Jacoby's area of expertise and its corresponding taxonomy classification?
The Mark Edward Jacoby's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
When did the Mark Edward Jacoby receive its 1871544551?
The Mark Edward Jacoby was issued its 1871544551 on 2006-05-15, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Mark Edward Jacoby most recently updated or revised?
The information pertaining to Mark Edward Jacoby, including its address, specialty, and other relevant details, was last updated or revised on 2021-02-17.
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