Individual
MR. JACOB M SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2 STONECREST DR, HUNTINGTON, WV 25701-9391
(304) 525-2273
(304) 525-2165
Mailing address
1448 10TH AVE STE 304, HUNTINGTON, WV 25701-3579
(304) 528-4600
(304) 691-8591
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
06/08/2026
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