Individual
DR. TAD LOUIS JACOBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
732 12TH ST, BELLE PLAINE, IA 52208-1753
(319) 444-2555
Mailing address
732 12TH ST, BELLE PLAINE, IA 52208-1753
(319) 444-2555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007156
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IB1444
MEDICARE PTAN
IA
Enumeration date
01/20/2009
Last updated
07/22/2013
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