Individual
MR. DEAN A JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHIROPRACTOR
Contact information
Practice address
2 AMBER LN, IOWA CITY, IA 52240-6702
(319) 337-3856
Mailing address
2 AMBER LN, IOWA CITY, IA 52240-6702
(319) 337-3856
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05247
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1257147
—
IA
01
—
421323693
FEDERAL TAX ID
—
Enumeration date
01/09/2007
Last updated
06/21/2017
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