# DR. JOHN BENJAMIN JACOBS

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

## Provider details

- **NPI number:** 1780654053
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C7933 | AR | Yes |

## Other

- **Enumeration date:** 01/26/2006
- **Last updated:** 07/22/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0062731 | UMWA H&R FUNDS | AR |
| 01 | — | 020407900 | BLACK LUNG PROGRAM | AR |
| 01 | — | 0790780001 | PALMETTO GBA | AR |
| 01 | — | 080046831 | RAILROAD MEDICARE/PALMETT | AR |
| 05 | — | 123744001 | — | AR |
| 01 | — | 15346000000 | QUALCHOICE | AR |
| 01 | — | 1670799 | UNITED HEALTHCARE | AR |
| 01 | — | 375018 | HEALTH LINK | AR |
| 01 | — | 55027 | BLUECROSSBLUESHIELD ARK | AR |
| 01 | — | 7959093 | AETNA INSURANCE COMPANY | AR |
| 01 | — | XX12984 | HEALTH PLUS OF MICHIGAN | AR |