MR. Jacob Smith PA-C, ATC

  • NPI 1548675945
According to our database, the NPI number for MR. Jacob Smith PA-C, ATC is 1548675945 and activated since 9 years ago. MR. Jacob Smith PA-C, ATC is an individual provider who specializes in Medical, and the primary practice location is 1111 Trinity Ln Ste 111, Bloomington, IL 61704. You can also contact MR. Jacob Smith PA-C, ATC via telephone number is (309) 663-6461. Provider NPI information was last updated on 08/23/2021.

Recently Active NPIs

Overview of MR. Jacob Smith PA-C, ATC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/24/2014
  • Last updated: 08/23/2021

Primary Scrop of Practice

  • Taxonomy Code: 363AM0700X
  • Specialty: Medical
  • License Number: 085008559
  • License State: IL

Provider Mailing Address

  • Address: 309 Lake Shore Cir
    Bloomington, IL 61704
  • Phone: 912-515-6645
  • Fax:

Provider Practice Location

  • Address: 1111 Trinity Ln Ste 111
    Bloomington, IL 61704
  • Phone: 309-663-6461
  • Fax:

Scope of Practice

  • Taxonomy Code: 2255A2300X
  • Specialty: Athletic Trainer
  • License Number: AT002681
  • License State: GA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Jacob Smith PA-C, ATC?
  • A: The npi number for MR. Jacob Smith PA-C, ATC is 1548675945.
  • Q: What are MR. Jacob Smith PA-C, ATC's specialties?
  • A: MR. Jacob Smith PA-C, ATC's specialties are Medical and different specialities.
  • Q: What is the medical license for MR. Jacob Smith PA-C, ATC?
  • A: The medical license number for MR. Jacob Smith PA-C, ATC is 085008559 and issued in IL in USA.
  • Q: Where is MR. Jacob Smith PA-C, ATC practice location?
  • A: MR. Jacob Smith PA-C, ATC is practicing at 1111 Trinity Ln Ste 111, Bloomington, IL 61704.
  • Q: How to contact MR. Jacob Smith PA-C, ATC?
  • A: You can contact MR. Jacob Smith PA-C, ATC via 309-663-6461.