Organization
CENTER FOR DIGESTIVE HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL A JACOBSON MD (PRESIDENT)
(440) 953-1899
Entity
Organization
Contact information
Practice address
34940 RIDGE RD, STE B, WILLOUGHBY, OH 44094-4196
(440) 953-1899
(440) 953-9281
Mailing address
34940 RIDGE RD, STE B, WILLOUGHBY, OH 44094-4196
(440) 953-1899
(440) 953-9281
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2055341
—
OH
05
—
2056368
—
OH
05
—
2056448
—
OH
05
—
2156563
—
OH
01
—
CA2499
PALMETTO GBA-RAILROAD MED
OH
Enumeration date
12/09/2005
Last updated
11/26/2007
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