# MR. THOMAS C JACOBUS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1811764236
- **Gender:** Man
- **Credential:** LAT, ATC, EMT-B

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146N00000X | Basic Emergency Medical Technician | 558323 | NJ | Yes |
| 2255A2300X | Athletic Trainer | 25MT00155100 | NJ | — |

## Other

- **Enumeration date:** 12/06/2023
- **Last updated:** 12/06/2023