Individual
DR. CHER A JACOBSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
185 W 4TH AVENUE, SUITE B, POST FALLS, ID 83854-4979
(208) 773-1593
Mailing address
185 W 4TH AVENUE, SUITE B, POST FALLS, ID 83854-4979
(208) 773-1593
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M8682
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010142829
REGENCE
ID
01
—
53223
BLUE CROSS
ID
05
—
8065757
—
ID
01
—
P00027582
RAILROAD MEDICARE
ID
Enumeration date
01/22/2007
Last updated
08/27/2020
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