Doris A Jacobs is a Medical in Grand Rapids, Michigan. Doris A Jacobs practices all healthcare services and medical treatments related to Medical. The NPI Number for Doris A Jacobs is 1679795355. The last update date is 2017-01-11.
Doris A Jacobs's current location address is 235 Wealthy St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6168408719 and fax number 6168409637. The mailing address for Doris A Jacobs is 235 Wealthy St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Doris A Jacobs |
|---|---|
| Address | 235 Wealthy St Se, Grand Rapids, Michigan |
| Phone Number | 6168408719 |
| Fax Number | 6168409637 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1679795355 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2017-01-11 |
Provider Mailing Address Detail
| Address | 235 Wealthy St Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495035247 |
| Phone Number | 6168408719 |
| Fax Number | 6168409637 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | DJ004588 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identifier code issued to Doris A Jacobs by the Centers for Medicare & Medicaid Services?
The Doris A Jacobs has been assigned the NPI (National Provider Identifier) 1679795355 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Doris A Jacobs?
The Doris A Jacobs is physically situated at 235 Wealthy St Se, in the city of Grand Rapids, state of MI, with the postal code 495035247.
What is Doris A Jacobs's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Doris A Jacobs is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679795355 to Doris A Jacobs?
The Centers for Medicare & Medicaid Services originally issued the 1679795355 to Doris A Jacobs on 2007-05-03.
When was the information related to Doris A Jacobs most recently updated or refreshed?
The details pertaining to the Doris A Jacobs, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-01-11.