# JOSEPH ELMER JACOBSON

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

## Provider details

- **NPI number:** 1982051280
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | 2022-00307 | NC | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 11018692A | IN | — |

## Other

- **Enumeration date:** 05/17/2016
- **Last updated:** 06/09/2023
