Individual
DR. MITCHELL WADE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
830 E 41ST ST, SIOUX FALLS, SD 57105-6028
(605) 338-5511
(605) 339-0265
Mailing address
830 E 41ST ST, SIOUX FALLS, SD 57105-6028
(605) 338-5511
(605) 339-0265
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1085
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7604440
—
SD
Enumeration date
05/17/2006
Last updated
10/26/2007
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