Kevin Charles Jacob DC

NPI 1063492486 - Chiropractor - 111N00000X

NPI Details
NPI 1063492486
Gender Male
Enumeration Date 01/20/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3820 S LAPEER RD
METAMORA MI, 48455-8751, US
Phone (910) 678-2414
Fax (810) 678-3936
Business Location
3820 S LAPEER RD
METAMORA MI, 48455-8751, US
Phone (910) 678-2414
Fax (810) 678-3936
Toxanomy
Taxonomy Code 111N00000X
License State Michigan
License Number 2301008846
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According to our database, Dr. Kevin Charles Jacob DC NPI is 1063492486, taxonomy code is 111N00000X and license number is 2301008846, license state is located at Michigan. Kevin Charles Jacob DC physically located at 3820 S Lapeer Rd, Metamora MI, 48455-8751. NPI Number Kevin Charles Jacob DC has the Individual type.

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1063492486 NPI number is provided on an as is basis without warranty of any kind. 1063492486 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Charles Jacob DC are for informational purposes only.