Charles D Jacobson in Puyallup - Internal Medicine
Charles D Jacobson - NPI 1124092754
Charles D Jacobson is a Internal Medicine in Puyallup, Washington. Charles D Jacobson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Charles D Jacobson is 1124092754. The last update date is 2011-11-08.
Charles D Jacobson's current location address is 1701 3rd St Se, Puyallup, Washington. You can contact this provider via phone number 2539675767 and fax number 2536975682. The mailing address for Charles D Jacobson is 1701 3rd St Se, Puyallup, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles D Jacobson |
|---|---|
| Address | 1701 3rd St Se, Puyallup, Washington |
| Phone Number | 2539675767 |
| Fax Number | 2536975682 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124092754 |
|---|---|
| Provider Enumeration Date | 2006-02-13 |
| Last Updated Date | 2011-11-08 |
Provider Mailing Address Detail
| Address | 1701 3rd St Se |
|---|---|
| City | Puyallup |
| State | Washington (WA) |
| Post Code | 983724511 |
| Phone Number | 2539675767 |
| Fax Number | 2536975682 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | MD00013535 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 111661110 | WA | MEDICARE OTHER-INDIVIDUAL | |
| 1414200 | WA | -- | |
| CO3401 | WA | MEDICARE OTHER-GROUP | |
| 193400000X | WA | TAXONOMY |
Post Comment/ Review Below
What is the Charles D Jacobson's 1124092754?
The Charles D Jacobson's NPI (National Provider Identifier) Number is 1124092754. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Charles D Jacobson's physical address?
The Charles D Jacobson is physically located at 1701 3Rd St Se, in the city of Puyallup, WA, with the postal code 983724511.
What is Charles D Jacobson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Charles D Jacobson is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.
On what date did the Charles D Jacobson receive its 1124092754 assignment from the Centers for Medicare & Medicaid Services?
The Charles D Jacobson was assigned its 1124092754 by the Centers for Medicare & Medicaid Services on 2006-02-13.
When was the information regarding Charles D Jacobson most recently updated?
The details pertaining to the Charles D Jacobson, including its address, specialty, and other relevant information, were last refreshed on 2011-11-08.
NPI Number: 1215930573
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