Jeffrey Robert Jacoby
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Schwenksville, PA
NPI 1891277489 · NPPES record last updated Aug 30, 2018
Key facts
- NPI
- 1891277489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 78 Panepinto Dr
Schwenksville, PA 19473-1828 - Phone
- (484) 343-4712
- NPI assigned
- Aug 30, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PA | Yes | |
| Athletic Trainer | 2255A2300X | PA |
Addresses
Primary practice location
78 Panepinto Dr
Schwenksville, PA 19473-1828
Mailing address
78 Panepinto Dr
Schwenksville, PA 19473-1828
Phone (484) 343-4712
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All providers in Schwenksville, PA · Student in an Organized Health Care Education/Training Program in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.