Individual
DR. JAMES M JACOBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 23RD ST, BEDFORD, IN 47421-4704
(812) 276-1374
(812) 276-1026
Mailing address
PO BOX 1281, BEDFORD, IN 47421-1281
(812) 276-1253
(812) 276-1026
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
1028615
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202272330A
—
IN
Enumeration date
11/02/2006
Last updated
08/12/2011
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