Individual
JONATHAN T. JACOBS
Active
Individual
JONATHAN T. JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-29916
KS
207R00000X
Internal Medicine Physician
Primary
0429916
KS
207R00000X
Internal Medicine Physician
2002028986
MO
208000000X
Pediatrics Physician
04-29916
KS
208000000X
Pediatrics Physician
2002028986
MO
208M00000X
Hospitalist Physician
0429916
KS
208M00000X
Hospitalist Physician
2002028986
MO
Other
Enumeration date
06/23/2006
Last updated
10/26/2017
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