Jacob Cloyd
Individual provider Active NPI Adult Companion · Oxford, MI
NPI 1891401907 · NPPES record last updated Jan 24, 2023
Key facts
- NPI
- 1891401907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Companion 372600000X
- Practice address
- 1450 S Lapeer Rd
Oxford, MI 48371-6108 - Phone
- (248) 969-9932
- Fax
- (248) 969-0840
- NPI assigned
- Jan 24, 2023
- 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 |
|---|---|---|---|---|
| Adult Companion | 372600000X | Yes |
Addresses
Primary practice location
1450 S Lapeer Rd
Oxford, MI 48371-6108
Mailing address
1350 S Lapeer Rd
Oxford, MI 48371-6106
Phone (248) 969-9375
Other providers in Oxford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2023. 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.