Individual
DR. EUGENE E JACOB
Active
Individual
DR. EUGENE E JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
23227
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000621578
ANTHEM
KY
01
—
3723478000
PASSPORT ADVANTAGE
KY
01
—
50024594
PASSSPORT
KY
05
—
64232275
—
KY
Enumeration date
07/26/2006
Last updated
12/07/2020
Update your record
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