Individual
MR. TAD JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
111 E 10TH ST, DELL RAPIDS, SD 57022-1217
(605) 997-2471
(605) 997-2418
Mailing address
111 E 10TH ST, DELL RAPIDS, SD 57022-1217
(605) 428-5446
(605) 428-2333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1258
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1258
DAKOTACARE
SD
01
—
12967
MIDLANDS CHOICE
SD
01
—
4995979
BCBS OF SOUTH DAKOTA
SD
05
—
5602006
—
SD
05
—
5602007
—
SD
01
—
57028A004
WPS TRICARE
SD
01
—
659S 6JA
CC SYSTEMS BLUE PLUS
MN
01
—
659S6JA
BCBS OF MN
MN
01
—
68890
ARAZ/AMERICA'S PPO
SD
05
—
873765700
—
MN
01
—
AH908107523
PREFERRED ONE
SD
Enumeration date
02/23/2006
Last updated
07/08/2016
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