Mark Kevin Jacob in Alma - Critical Care Medicine
Mark Kevin Jacob - NPI 1063688497
Mark Kevin Jacob is a Critical Care Medicine in Alma, Michigan. Mark Kevin Jacob practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Mark Kevin Jacob is 1063688497. The last update date is 2023-11-27.
Mark Kevin Jacob's current location address is 300 E Warwick Dr, Alma, Michigan. You can contact this provider via phone number 9897741101. The mailing address for Mark Kevin Jacob is 300 E Warwick Dr, Alma, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Kevin Jacob |
|---|---|
| Address | 300 E Warwick Dr, Alma, Michigan |
| Phone Number | 9897741101 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1063688497 |
|---|---|
| Provider Enumeration Date | 2008-05-06 |
| Last Updated Date | 2023-11-27 |
Provider Mailing Address Detail
| Address | 300 E Warwick Dr |
|---|---|
| City | Alma |
| State | Michigan (MI) |
| Post Code | 488011014 |
| Phone Number | 9897741101 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
|---|---|
| Taxonomy | 207Rc0200X |
| Licence No | 04-331614 |
|
Definition: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1653F | NC | BCBSNC | |
| 5919082 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark Kevin Jacob by the Centers for Medicare & Medicaid Services?
The Mark Kevin Jacob has been assigned the NPI (National Provider Identifier) 1063688497. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark Kevin Jacob?
The Mark Kevin Jacob is situated at 300 E Warwick Dr, in the city of Alma, state of MI, with the zip code 488011014.
What is the Mark Kevin Jacob's specialty and taxonomy code?
The Mark Kevin Jacob's specialty is Critical Care Medicine, and the corresponding taxonomy code is 207Rc0200X.
On what date did the Mark Kevin Jacob receive the assignment of its 1063688497 from the Centers for Medicare & Medicaid Services?
The Mark Kevin Jacob was issued its 1063688497 by the Centers for Medicare & Medicaid Services on 2008-05-06.
As of what date were the details related to Mark Kevin Jacob most recently updated or revised?
The information pertaining to Mark Kevin Jacob, including its address, specialty, and other relevant details, was last updated or revised on 2023-11-27.
NPI Number: 1083611107
Address: 416 J Clyde Morris Blvd, Newport News, VA