Individual
EARL JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3650 S EASTERN AVE, # 200, LAS VEGAS, NV 89169-3345
(702) 384-2544
(702) 384-8528
Mailing address
3650 S EASTERN AVE, # 200, LAS VEGAS, NV 89169-3345
(702) 384-2544
(702) 384-8528
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
43
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002102804
—
NV
01
—
756480688
PALMETTO GBA RAILROAD MED
—
Enumeration date
06/28/2006
Last updated
04/01/2024
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