Beth Jean Jacobson is a Sports in La Mesa, California. Beth Jean Jacobson practices all healthcare services and medical treatments related to Sports. The NPI Number for Beth Jean Jacobson is 1578531836. The last update date is 2011-10-03.
Beth Jean Jacobson's current location address is 5565 Grossmont Center Dr, La Mesa, California. You can contact this provider via phone number 6195890850 and fax number 6195890878. The mailing address for Beth Jean Jacobson is 5565 Grossmont Center Dr, La Mesa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beth Jean Jacobson |
|---|---|
| Address | 5565 Grossmont Center Dr, La Mesa, California |
| Phone Number | 6195890850 |
| Fax Number | 6195890878 |
| Sole Proprietor | Y |
| Credentials | PT, ATC |
NPI Number Detail
| NPI Number | 1578531836 |
|---|---|
| Provider Enumeration Date | 2006-03-10 |
| Last Updated Date | 2011-10-03 |
Provider Mailing Address Detail
| Address | 5565 Grossmont Center Dr |
|---|---|
| City | La Mesa |
| State | California (CA) |
| Post Code | 919423020 |
| Phone Number | 6195890850 |
| Fax Number | 6195890878 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | PT8986 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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What is the unique identification code assigned to Beth Jean Jacobson by the Centers for Medicare & Medicaid Services?
The Beth Jean Jacobson has been issued the NPI (National Provider Identifier) 1578531836. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Beth Jean Jacobson is located?
The Beth Jean Jacobson is situated at the following address: 5565 Grossmont Center Dr, La Mesa, CA, 919423020.
What is the Beth Jean Jacobson's area of specialization and corresponding taxonomy classification?
The Beth Jean Jacobson's specialty field is Sports, and it falls under the taxonomy code 2251S0007X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1578531836 to Beth Jean Jacobson?
The Centers for Medicare & Medicaid Services assigned the 1578531836 to Beth Jean Jacobson on 2006-03-10.
As of what date were the details pertaining to Beth Jean Jacobson last refreshed?
The information related to the Beth Jean Jacobson, including its address, specialty, and other relevant details, was last updated on 2011-10-03.
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