Individual
EVAN JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8 LEWIS RD, KITTERY, ME 03904
(413) 588-1897
Mailing address
8 LEWIS RD, KITTERY, ME 03904
(413) 588-1897
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO4258
ME
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
05/29/2026
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