Individual
JEFFERY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8613 N 30TH ST, OMAHA, NE 68112-1852
(402) 453-9900
(402) 453-5617
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
21795
NE
207P00000X
Emergency Medicine Physician
33092
IA
207Q00000X
Family Medicine Physician
Primary
21795
NE
Other
Enumeration date
06/06/2006
Last updated
07/20/2011
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