Individual
CHRIS JACOB
Active
Individual
CHRIS JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101021621
MI
207RC0000X
Cardiovascular Disease Physician
Primary
5101028038
MI
207RI0011X
Interventional Cardiology Physician
5101028038
MI
208M00000X
Hospitalist Physician
293779
NY
390200000X
Student in an Organized Health Care Education/Training Program
5101021621
MI
390200000X
Student in an Organized Health Care Education/Training Program
5151009894
MI
Other
Enumeration date
05/08/2015
Last updated
10/25/2025
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