Individual
MR. JOSEPH PATRICK JAKUBAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
Mailing address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10004894A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10004894A
IN STATE LICENSE
IN
01
—
1235873
BOARD CERTIFICATION ID
IN
05
—
300117808
—
IN
05
—
7101079060
—
KY
Enumeration date
03/25/2025
Last updated
09/02/2025
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