Richard Terril Jacobs in Richland - Sports Medicine
Richard Terril Jacobs - NPI 1912033663
Richard Terril Jacobs is a Sports Medicine in Richland, Washington. Richard Terril Jacobs practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Richard Terril Jacobs is 1912033663. The last update date is 2021-06-01.
Richard Terril Jacobs's current location address is 1351 Fowler St, Richland, Washington. You can contact this provider via phone number 5099461654 and fax number 5099435652. The mailing address for Richard Terril Jacobs is 1351 Fowler St, Richland, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Terril Jacobs |
|---|---|
| Address | 1351 Fowler St, Richland, Washington |
| Phone Number | 5099461654 |
| Fax Number | 5099435652 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1912033663 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2021-06-01 |
Provider Mailing Address Detail
| Address | 1351 Fowler St |
|---|---|
| City | Richland |
| State | Washington (WA) |
| Post Code | 993524714 |
| Phone Number | 5099461654 |
| Fax Number | 5099435652 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | MD00023987 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 265015 | WA | LABOR & INDUSTRY |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Richard Terril Jacobs by the Centers for Medicare & Medicaid Services?
The Richard Terril Jacobs has been issued the NPI (National Provider Identifier) 1912033663 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Richard Terril Jacobs is physically located?
The Richard Terril Jacobs is physically situated at the following address: 1351 Fowler St, Richland, WA, 993524714.
What is Richard Terril Jacobs's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Richard Terril Jacobs is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qs0010X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912033663 to Richard Terril Jacobs?
The Centers for Medicare & Medicaid Services originally issued the 1912033663 to Richard Terril Jacobs on 2007-02-26.
When was the information pertaining to Richard Terril Jacobs most recently updated or revised?
The details related to Richard Terril Jacobs, including its address, specialty, and other relevant information, were last updated or revised on 2021-06-01.
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