Michael A Jacobs in Kenosha - Physician Assistant
Michael A Jacobs - NPI 1700993227
Michael A Jacobs is a Physician Assistant in Kenosha, Wisconsin. Michael A Jacobs practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael A Jacobs is 1700993227. The last update date is 2023-03-07.
Michael A Jacobs's current location address is 10400 75th St, Kenosha, Wisconsin. You can contact this provider via phone number 2629485600. The mailing address for Michael A Jacobs is 10400 75th St, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michael A Jacobs |
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Address | 10400 75th St, Kenosha, Wisconsin |
Phone Number | 2629485600 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1700993227 |
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Provider Enumeration Date | 2006-08-23 |
Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
Address | 10400 75th St |
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City | Kenosha |
State | Wisconsin (WI) |
Post Code | 531427884 |
Phone Number | 2629485600 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 1170-023 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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42987800 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Michael A Jacobs?
The Michael A Jacobs has been issued the NPI (National Provider Identifier) 1700993227 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Michael A Jacobs?
The Michael A Jacobs is situated at 10400 75Th St, in the city of Kenosha, state of WI, with the zip code 531427884.
What is the Michael A Jacobs's specialty and taxonomy code?
The Michael A Jacobs's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1700993227 to Michael A Jacobs?
The Centers for Medicare & Medicaid Services assigned the 1700993227 to Michael A Jacobs on 2006-08-23.
As of what date were the details related to Michael A Jacobs most recently updated or revised?
The information pertaining to Michael A Jacobs, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-07.