Individual
DR. JACOB CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
914 S 12TH ST, ALTOONA, PA 16602-6247
(814) 201-2309
(814) 201-2389
Mailing address
914 S 12TH ST, ALTOONA, PA 16602-6247
(814) 201-2309
(814) 201-2389
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC007231
PA
213EP1101X
Primary Podiatric Medicine Podiatrist
SC007231
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2018
Last updated
12/01/2021
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