Peter C Jacobson in North Chesterfield - Sports Medicine
Peter C Jacobson - NPI 1770505703
Peter C Jacobson is a Sports Medicine in North Chesterfield, Virginia. Peter C Jacobson practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Peter C Jacobson is 1770505703. The last update date is 2020-09-02.
Peter C Jacobson's current location address is 1115 Boulders Pkwy Ste 200, North Chesterfield, Virginia. You can contact this provider via phone number 8045605595 and fax number 8045609029. The mailing address for Peter C Jacobson is 1115 Boulders Pkwy Ste 200, North Chesterfield, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter C Jacobson |
|---|---|
| Address | 1115 Boulders Pkwy Ste 200, North Chesterfield, Virginia |
| Phone Number | 8045605595 |
| Fax Number | 8045609029 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1770505703 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2020-09-02 |
Provider Mailing Address Detail
| Address | 1115 Boulders Pkwy Ste 200 |
|---|---|
| City | North Chesterfield |
| State | Virginia (VA) |
| Post Code | 232254067 |
| Phone Number | 8045605595 |
| Fax Number | 8045609029 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 101041104 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6409628 | VA | -- |
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What is the unique identification code assigned to Peter C Jacobson by the Centers for Medicare & Medicaid Services?
The Peter C Jacobson has been issued the NPI (National Provider Identifier) 1770505703. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Peter C Jacobson's physical address?
The Peter C Jacobson is physically located at 1115 Boulders Pkwy Ste 200, in the city of North Chesterfield, VA, with the postal code 232254067.
What is Peter C Jacobson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Peter C Jacobson is Sports Medicine, and the taxonomy code that categorizes this field of expertise is 207Xx0005X.
On what date did the Centers for Medicare & Medicaid Services issue the 1770505703 to Peter C Jacobson?
The Peter C Jacobson received its 1770505703 assignment from the Centers for Medicare & Medicaid Services on 2006-07-25.
When was the information regarding Peter C Jacobson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Peter C Jacobson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-09-02.