Charles A Jacobson in Moscow - Orthopaedic Surgery

Charles A Jacobson - NPI 1760492656

Charles A Jacobson is a Orthopaedic Surgery in Moscow, Idaho. Charles A Jacobson practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Charles A Jacobson is 1760492656. The last update date is 2015-08-04.

Charles A Jacobson's current location address is 2500 W A St, Moscow, Idaho. You can contact this provider via phone number 2088832828 and fax number 2088822179. The mailing address for Charles A Jacobson is 2500 W A St, Moscow, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles A Jacobson
Address 2500 W A St, Moscow, Idaho
Phone Number 2088832828
Fax Number 2088822179
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1760492656
Provider Enumeration Date 2006-08-09
Last Updated Date 2015-08-04

Provider Mailing Address Detail

Address 2500 W A St
City Moscow
State Idaho (ID)
Post Code 838435065
Phone Number 2088832828
Fax Number 2088822179

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Licence No M6567
Definition:
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
102784 WA DEPT OF LABOR
2743901 ID --
1092733 WA --

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FAQs about Charles A Jacobson

What is the unique 10-digit identifier code assigned to Charles A Jacobson by the Centers for Medicare & Medicaid Services?

The Charles A Jacobson has been issued the NPI (National Provider Identifier) 1760492656 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

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

The facilities of Charles A Jacobson are physically situated at the following location: 2500 W A St, Moscow, ID, 838435065.

What is the Charles A Jacobson's area of specialization and corresponding taxonomy classification?

The Charles A Jacobson's specialty field is Orthopaedic Surgery, and it falls under the taxonomy code 207X00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1760492656 to Charles A Jacobson?

The Centers for Medicare & Medicaid Services originally issued the 1760492656 to Charles A Jacobson on 2006-08-09.

When was the information regarding Charles A Jacobson most recently updated?

The details pertaining to the Charles A Jacobson, including its address, specialty, and other relevant information, were last refreshed on 2015-08-04.

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