Dr. Elizabeth Marie Jacobsen
Podiatrist Foot & Ankle Surgery
430 W 35th St
Davenport
, Iowa 52806-5820
Dr. Elizabeth Marie Jacobsen
Podiatrist Foot & Ankle Surgery
430 W 35th St
Davenport
, Iowa 52806-5820
(563) 391-2988
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About
Features
Specialties
- Podiatrist
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Elizabeth Marie Jacobsen
- 430 W 35th St
- Davenport, IA
- Zip : 52806-5820
- Fax : (563) 391-2988
- Phone : (563) 391-2889
Second Address
- Dr. Elizabeth Marie Jacobsen
- 430 W 35th St
- Davenport, IA
- Zip : 52806-5820
- Fax : (563) 391-2988
- Phone : (563) 391-2889
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 085216 | IA |
| Y | 222Z00000X | Podiatrist | 085216 | IA |
| N | 213ES0103X | Foot & Ankle Surgery | 135.000811 | IL |
National Provider Identifier
| NPI | 1023450145 |
|---|---|
| Provider Name | Dr. Elizabeth Marie Jacobsen |
| First Address | Davenport, IA 52806-5820 |
| Second Address | Davenport, IA 52806-5820 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2013 |
| Last Update Date | 13/02/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 085216 | PROFESSIONAL LICENSE (01) | IA |
| 135.000811 | PROFESSIONAL LICENSE (01) | IL |
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.