Individual
DR. CARLA SUE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
528 S OTTERBEIN AVE, WESTERVILLE, OH 43081-2913
(614) 898-9195
(614) 898-9188
Mailing address
528 S OTTERBEIN AVE, WESTERVILLE, OH 43081-2913
(614) 898-9195
(614) 898-9188
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1186
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0633961
—
OH
Enumeration date
01/25/2007
Last updated
07/08/2007
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