Individual
DAVID JACOBSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
36000 EUCLID AVE, WILLOUGHBY, OH 44094
(440) 953-6203
(440) 953-6202
Mailing address
7381 WILLOW RUN DR, MENTOR, OH 44060-3529
(440) 413-0877
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
022384-1
NY
363A00000X
Physician Assistant
Primary
50000362
OH
Other
Enumeration date
03/30/2006
Last updated
11/15/2018
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