Individual
DR. MATTHEW THOMAS JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
603 E RIDGEVILLE BLVD, MOUNT AIRY, MD 21771-5249
(301) 829-4040
Mailing address
10227 FOUNTAIN SCHOOL RD, UNION BRIDGE, MD 21791-7914
(443) 821-4948
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S03977
MD
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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