Marileen Ann Jacobs in Coeur D Alene - Orthotic Fitter
Marileen Ann Jacobs - NPI 1023019494
Marileen Ann Jacobs is a Orthotic Fitter in Coeur D Alene, Idaho. Marileen Ann Jacobs practices all healthcare services and medical treatments related to Orthotic Fitter. The NPI Number for Marileen Ann Jacobs is 1023019494. The last update date is 2007-07-08.
Marileen Ann Jacobs's current location address is 1512 E Gilbert Ave, Coeur D Alene, Idaho. You can contact this provider via phone number 2086644398 and fax number 2086674733. The mailing address for Marileen Ann Jacobs is 1512 E Gilbert Ave, Coeur D Alene, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marileen Ann Jacobs |
|---|---|
| Address | 1512 E Gilbert Ave, Coeur D Alene, Idaho |
| Phone Number | 2086644398 |
| Fax Number | 2086674733 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1023019494 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1512 E Gilbert Ave |
|---|---|
| City | Coeur D Alene |
| State | Idaho (ID) |
| Post Code | 838156216 |
| Phone Number | 2086644398 |
| Fax Number | 2086674733 |
Provider's Primary Taxonomy Detail
| Speciality | Orthotic Fitter |
|---|---|
| Taxonomy | 225000000X |
|
Definition: An individual trained in the management of fitting prefabricated orthoses. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8A760 | ID | BLUE CROSS | |
| 10014587 | ID | REGENCE BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Marileen Ann Jacobs?
The Marileen Ann Jacobs has been issued the NPI (National Provider Identifier) 1023019494 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Marileen Ann Jacobs is physically located?
The Marileen Ann Jacobs is physically situated at the following address: 1512 E Gilbert Ave, Coeur D Alene, ID, 838156216.
What is Marileen Ann Jacobs's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Marileen Ann Jacobs's specialized field of practice is Orthotic Fitter, and the corresponding taxonomy code that categorizes this area of specialization is 225000000X.
On what date was the 1023019494 assigned to Marileen Ann Jacobs?
The Marileen Ann Jacobs was issued its 1023019494 on 2005-08-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Marileen Ann Jacobs's information last updated?
The Marileen Ann Jacobs's information was last updated on 2007-07-08.