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Individual

DR. RONALD EARL JACOBS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
222 E HARRIS ST, CADILLAC, MI 49601-2125
(231) 779-9044
(231) 775-9609
Mailing address
222 E HARRIS ST, CADILLAC, MI 49601-2125
(231) 779-9044
(231) 775-9609

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005768
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
133669
PREFERRED CHOICES PIN
MI
01
950H35005
BCBS PIN
MI
Enumeration date
01/25/2007
Last updated
07/09/2007
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