Edward Charles Jacobson in St Petersburg - Neuromusculoskeletal Medicine & Omm
Edward Charles Jacobson - NPI 1871659060
Edward Charles Jacobson is a Neuromusculoskeletal Medicine & Omm in St Petersburg, Florida. Edward Charles Jacobson practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine & Omm. The NPI Number for Edward Charles Jacobson is 1871659060. The last update date is 2007-07-08.
Edward Charles Jacobson's current location address is 5635 1st Ave S, St Petersburg, Florida. You can contact this provider via phone number 7273457681 and fax number 7273814318. The mailing address for Edward Charles Jacobson is 5635 1st Ave S, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Charles Jacobson |
|---|---|
| Address | 5635 1st Ave S, St Petersburg, Florida |
| Phone Number | 7273457681 |
| Fax Number | 7273814318 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1871659060 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5635 1st Ave S |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337071703 |
| Phone Number | 7273457681 |
| Fax Number | 7273814318 |
Provider's Primary Taxonomy Detail
| Speciality | Neuromusculoskeletal Medicine & Omm |
|---|---|
| Taxonomy | 204D00000X |
| Licence No | OS0005364 |
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Definition: The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Med |
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What is the unique identifier code issued to Edward Charles Jacobson by the Centers for Medicare & Medicaid Services?
The Edward Charles Jacobson has been assigned the NPI (National Provider Identifier) 1871659060. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Edward Charles Jacobson located?
The Edward Charles Jacobson is located at 5635 1St Ave S, St Petersburg, FL 337071703.
What is the Edward Charles Jacobson's specialty and taxonomy code?
The Edward Charles Jacobson's specialty is Neuromusculoskeletal Medicine & Omm, and the corresponding taxonomy code is 204D00000X.
When did Edward Charles Jacobson receive its 1871659060 assignment?
The Edward Charles Jacobson was assigned its 1871659060 on 2006-12-29, which is the date when this unique identifier was issued to the organization.
When was the Edward Charles Jacobson's information last updated?
The Edward Charles Jacobson's information was last updated on 2007-07-08.