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Individual

JOSEPH ELMER JACOBSON

Active
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Individual

JOSEPH ELMER JACOBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
11018692
IN
207X00000X
Orthopaedic Surgery Physician
2022-00307
NC
207X00000X
Orthopaedic Surgery Physician
87991
GA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
2022-00307
NC
390200000X
Student in an Organized Health Care Education/Training Program
11018692A
IN

Other

Enumeration date
05/17/2016
Last updated
06/09/2023
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