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Organization

JACOBUS FAMILY ENTERPRISES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENT JACOBUS II MD (MEMBER)
(219) 765-3216
Entity
Organization

Contact information

Practice address
728 HARVEST LN, WASHINGTON TOWNSHIP, OH 45458-4359
(219) 765-3216
Mailing address
728 HARVEST LN, WASHINGTON TOWNSHIP, OH 45458-4359
(219) 765-3216

Taxonomy

Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary

Other

Enumeration date
10/16/2023
Last updated
10/16/2023
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