Curtis Leslie Jacobson
Sports Medicine
3784 Summit Run Trl
Idaho Falls
, Idaho 83404-8248
Curtis Leslie Jacobson
Sports Medicine
3784 Summit Run Trl
Idaho Falls
, Idaho 83404-8248
(208) 731-9896
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Curtis Leslie Jacobson
- 3784 Summit Run Trl
- Idaho Falls, ID
- Zip : 83404-8248
- Phone : (208) 731-9896
Second Address
- Curtis Leslie Jacobson
- 3784 Summit Run Trl
- Idaho Falls, ID
- Zip : 83404-8248
- Phone : (208) 731-9896
Reviews
FAQs
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What type of doctor is Curtis Leslie Jacobson
In what state does Curtis Leslie Jacobson practice in?
Where is Curtis Leslie Jacobson ’s practice located?
What is Curtis Leslie Jacobson ’s gender?
Is Curtis Leslie Jacobson a sole practitioner?
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What is Curtis Leslie Jacobson ’s NPI number?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | PT-1675 | ID |
| Y | 213ES0000X | Sports Medicine | PT-1675 | ID |
National Provider Identifier
| NPI | 1295327096 |
|---|---|
| Provider Name | Curtis Leslie Jacobson |
| First Address | Idaho Falls, ID 83404-8248 |
| Second Address | Idaho Falls, ID 83404-8248 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/02/2021 |
| Last Update Date | 03/02/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.