Individual
NORMAN M JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1805 27TH ST, SOMC, PORTSMOUTH, OH 45662
(740) 356-8117
(740) 353-1214
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-6942
(740) 356-7851
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
35050302
OH
2085R0202X
Diagnostic Radiology Physician
Primary
35050302
OH
2085R0202X
Diagnostic Radiology Physician
51107
KY
2085R0202X
Diagnostic Radiology Physician
MC-177
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000203530
BC/BS INDIVIDUAL PIN NO
OH
05
—
0635389
—
OH
05
—
6478787200
—
KY
01
—
P00176289
SOM RR MDCR PIN NUMBER
OH
01
—
TP318
KENTUCKY MEDICAL LICENSE
KY
Enumeration date
07/22/2005
Last updated
09/19/2023
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