Individual
DR. JEFFREY ERIC JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 247-4240
(515) 247-4239
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 247-4240
(515) 247-4239
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
56928
MN
2084P0800X
Psychiatry Physician
Primary
DO-06395
IA
2084P0800X
Psychiatry Physician
MT200309
PA
2084P0800X
Psychiatry Physician
OS017907
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04358389
—
NY
05
—
1030976690001
—
PA
Enumeration date
06/30/2008
Last updated
08/30/2023
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