Individual
MR. JACOB M SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
5170 US ROUTE 60, HUNTINGTON, WV 25705-2004
(304) 528-4600
Mailing address
5170 US RT 60 EAST, HUNTINGTON, WV 25705
(304) 528-4600
(304) 733-3143
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1310
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0356376
—
OH
05
—
1447447503
—
WV
05
—
7100109200
—
KY
Enumeration date
10/02/2007
Last updated
03/31/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us