Individual
IRWIN B JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 METROHEALTH DR, MHMC-PEDIATRICS, CLEVELAND, OH 44109-1900
(216) 778-2554
Mailing address
2500 METROHEALTH DR, MHMC-PEDIATRICS, CLEVELAND, OH 44109-1900
(216) 778-2554
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
35030443
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235703
—
OH
01
—
6630995300
BWC
OH
Enumeration date
07/07/2006
Last updated
07/08/2007
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