Individual
CHRISTOPHER JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 E CENTRAL DR, MERIDIAN, ID 83642-8046
(208) 795-4266
Mailing address
3649 N KAY LN, GARDEN CITY, ID 83714-6211
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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