Individual
DR. BEN JAKOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.,P.C
Contact information
Practice address
4000 OLD COURT RD STE 206, PIKESVILLE, MD 21208-6415
(410) 580-1616
(410) 580-1153
Mailing address
4000 OLD COURT RD STE 206, PIKESVILLE, MD 21208-6415
(410) 580-1616
(410) 580-1153
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
03446
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
354 CB
CAREFIRST MD PROVIDER #
MD
05
—
409827700
—
MD
01
—
64763601
MD CAREFIRST RENDERING #
MD
01
—
K951
CAREFIRST PROVIDER #
DC
Enumeration date
10/19/2006
Last updated
10/08/2008
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