Individual
DR. ALEXIS DANIELLE JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 S PARK ST STE A, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-2961
Mailing address
700 S PARK ST STE A, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-2961
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
BP10023656
TX
2086S0129X
Vascular Surgery Physician
Primary
77962-20
WI
2086S0129X
Vascular Surgery Physician
N6891
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881924819
—
WI
Enumeration date
01/14/2010
Last updated
06/12/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us