Individual
JOSEPH ELMER JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
810 MITCHELL AVE, SALISBURY, NC 28144-6253
(704) 216-5633
(704) 639-0785
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 216-5633
(704) 639-0785
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
11018692
IN
207X00000X
Orthopaedic Surgery Physician
2022-00307
NC
207X00000X
Orthopaedic Surgery Physician
87991
GA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
2022-00307
NC
390200000X
Student in an Organized Health Care Education/Training Program
11018692A
IN
Other
Enumeration date
05/17/2016
Last updated
06/09/2023
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