Individual
MR. HENRY WILLIAM JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, BA, MSAT STUDENT
Contact information
Practice address
1475 ENGINEERING DR, MADISON, WI 53706-1607
(608) 264-8065
Mailing address
5673 CHERYL DR, FITCHBURG, WI 53711-5371
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
WI
Other
Enumeration date
10/22/2024
Last updated
10/23/2024
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