Jon R Jacobs is a Specialist in North Charleston, South Carolina. Jon R Jacobs practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jon R Jacobs is 1093989006. The last update date is 2008-04-22.
Jon R Jacobs's current location address is 9213 University Blvd Ste D, North Charleston, South Carolina. You can contact this provider via phone number 8437976564 and fax number 8435729165. The mailing address for Jon R Jacobs is 9213 University Blvd Ste D, North Charleston, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jon R Jacobs |
|---|---|
| Address | 9213 University Blvd Ste D, North Charleston, South Carolina |
| Phone Number | 8437976564 |
| Fax Number | 8435729165 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Smith Leigh Shannon |
| Credentials | RN |
| Telephone Number | 8437976564 |
NPI Number Detail
| NPI Number | 1093989006 |
|---|---|
| Provider Enumeration Date | 2008-04-22 |
| Last Updated Date | 2008-04-22 |
Provider Mailing Address Detail
| Address | 9213 University Blvd Ste D |
|---|---|
| City | North Charleston |
| State | South Carolina (SC) |
| Post Code | 294069145 |
| Phone Number | 8437976564 |
| Fax Number | 8435729165 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 199702336 |
|
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 |
|---|---|---|---|
| C611963397 | SC | MEDICARE | |
| 1568535953 | SC | NPI- SINGLE PROVIDER | |
| 113004 | SC | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jon R Jacobs by the Centers for Medicare & Medicaid Services?
The Jon R Jacobs has been issued the NPI (National Provider Identifier) 1093989006. This 10-digit code 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 Jon R Jacobs?
The Jon R Jacobs is physically situated at 9213 University Blvd Ste D, in the city of North Charleston, state of SC, with the postal code 294069145.
What is Jon R Jacobs's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jon R Jacobs is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
When did the Jon R Jacobs receive its 1093989006?
The Jon R Jacobs was issued its 1093989006 on 2008-04-22, which is the date when the organization was assigned this unique identifier.
When was the information regarding Jon R Jacobs, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jon R Jacobs, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-22.