Eric S Jacobsen is a Family Medicine in Boise, Idaho. Eric S Jacobsen practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Eric S Jacobsen is 1053405969. The last update date is 2022-03-04.
Eric S Jacobsen's current location address is 500 W. Fort St., Boise, Idaho. You can contact this provider via phone number 2084221000 and fax number 2084221319. The mailing address for Eric S Jacobsen is 500 W. Fort St., Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric S Jacobsen |
|---|---|
| Address | 500 W. Fort St., Boise, Idaho |
| Phone Number | 2084221000 |
| Fax Number | 2084221319 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053405969 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2022-03-04 |
Provider Mailing Address Detail
| Address | 500 W. Fort St. |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 83702 |
| Phone Number | 2084221000 |
| Fax Number | 2084221319 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | M8480 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3760600 | ID | -- | |
| 10139751 | ID | BLUE SHIELD | |
| 50450 | ID | BLUE CROSS |
Post Comment/ Review Below
What is the unique identifier code issued to Eric S Jacobsen by the Centers for Medicare & Medicaid Services?
The Eric S Jacobsen has been assigned the NPI (National Provider Identifier) 1053405969. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Eric S Jacobsen's physical address?
The Eric S Jacobsen is physically located at 500 W. Fort St., in the city of Boise, ID, with the postal code 83702.
What is Eric S Jacobsen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Eric S Jacobsen is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053405969 to Eric S Jacobsen?
The Eric S Jacobsen received its 1053405969 assignment from the Centers for Medicare & Medicaid Services on 2006-10-03.
When was the Eric S Jacobsen's information last updated?
The Eric S Jacobsen's information was last updated on 2022-03-04.
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