Paul Kenneth Jacobson in Faribault - Family Medicine

Paul Kenneth Jacobson - NPI 1568448579

Paul Kenneth Jacobson is a Family Medicine in Faribault, Minnesota. Paul Kenneth Jacobson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Paul Kenneth Jacobson is 1568448579. The last update date is 2009-03-25.

Paul Kenneth Jacobson's current location address is 924 1st St Ne, Faribault, Minnesota. You can contact this provider via phone number 5073333207 and fax number 5073333302. The mailing address for Paul Kenneth Jacobson is 924 1st St Ne, Faribault, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul Kenneth Jacobson
Address 924 1st St Ne, Faribault, Minnesota
Phone Number 5073333207
Fax Number 5073333302
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1568448579
Provider Enumeration Date 2005-12-21
Last Updated Date 2009-03-25

Provider Mailing Address Detail

Address 924 1st St Ne
City Faribault
State Minnesota (MN)
Post Code 550215441
Phone Number 5073333207
Fax Number 5073333302

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 27605
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
80169214 MN MEDICARE RAILROAD
958767500 MN --

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FAQs about Paul Kenneth Jacobson

What is the unique 10-digit identification code assigned to Paul Kenneth Jacobson by the Centers for Medicare & Medicaid Services?

The Paul Kenneth Jacobson has been issued the NPI (National Provider Identifier) 1568448579, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Paul Kenneth Jacobson's facilities are geographically located?

The facilities of Paul Kenneth Jacobson are physically situated at the following location: 924 1St St Ne, Faribault, MN, 550215441.

What is the Paul Kenneth Jacobson's area of specialization and corresponding taxonomy classification?

The Paul Kenneth Jacobson's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.

On what date did Paul Kenneth Jacobson receive its 1568448579 assignment from the Centers for Medicare & Medicaid Services?

The Paul Kenneth Jacobson was assigned its 1568448579 on 2005-12-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Paul Kenneth Jacobson's information last updated?

The Paul Kenneth Jacobson's information was last updated on 2009-03-25.

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