Individual
JOSHUA M JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-2722
(253) 968-1110
Mailing address
1 WYOMING ST, DAYTON, OH 45409-2722
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
05-50386
KS
207P00000X
Emergency Medicine Physician
2023021752
MO
207P00000X
Emergency Medicine Physician
Primary
34.012079
OH
207P00000X
Emergency Medicine Physician
C2487
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0385514
—
OH
Enumeration date
03/07/2014
Last updated
07/03/2025
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