Individual
DARYL JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(888) 884-2327
Mailing address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
AA000080
DC
367H00000X
Anesthesiologist Assistant
7680
GA
367H00000X
Anesthesiologist Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA000080
NCCAA CERTIFICATION
DC
Enumeration date
08/07/2015
Last updated
02/06/2020
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