Vivian A. Clark-Jacobs in Cleveland - Medical

Vivian A. Clark-Jacobs - NPI 1972698355

Vivian A. Clark-Jacobs is a Medical in Cleveland, Ohio. Vivian A. Clark-Jacobs practices all healthcare services and medical treatments related to Medical. The NPI Number for Vivian A. Clark-Jacobs is 1972698355. The last update date is 2008-02-15.

Vivian A. Clark-Jacobs's current location address is 8300 Hough Avenue, Cleveland, Ohio. You can contact this provider via phone number 2162317700 and fax number 2162317920. The mailing address for Vivian A. Clark-Jacobs is 8300 Hough Avenue, Cleveland, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Vivian A. Clark-Jacobs
Address 8300 Hough Avenue, Cleveland, Ohio
Phone Number 2162317700
Fax Number 2162317920
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1972698355
Provider Enumeration Date 2006-10-03
Last Updated Date 2008-02-15

Provider Mailing Address Detail

Address 8300 Hough Avenue
City Cleveland
State Ohio (OH)
Post Code 44103
Phone Number 2162317700
Fax Number 2162317920

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 50000747
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Vivian A. Clark-Jacobs

What is the unique 10-digit identifier code assigned to Vivian A. Clark-Jacobs by the Centers for Medicare & Medicaid Services?

The Vivian A. Clark-Jacobs has been issued the NPI (National Provider Identifier) 1972698355 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Vivian A. Clark-Jacobs is located?

The Vivian A. Clark-Jacobs is situated at the following address: 8300 Hough Avenue, Cleveland, OH, 44103.

What is Vivian A. Clark-Jacobs's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Vivian A. Clark-Jacobs is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.

On what date did Vivian A. Clark-Jacobs receive its 1972698355 assignment from the Centers for Medicare & Medicaid Services?

The Vivian A. Clark-Jacobs was assigned its 1972698355 on 2006-10-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Vivian A. Clark-Jacobs most recently updated or revised?

The details related to Vivian A. Clark-Jacobs, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-15.

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