# DR. MICHAEL JAKUBOWSKI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1528172723
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3635 | OH | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000368657 | ANTHEM BCBS | OH |
| 05 | — | 2617850 | — | OH |
| 01 | — | 341968870027 | CARESOURCE | OH |
| 01 | — | 7506718 | AETNA | OH |
| 01 | — | P00229278 | RAILROAD MEDICARE | OH |