Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 31824 | CA |
N | 111NN1001X | Nutrition | 31824 | CA |
NPI | 1346539814 |
---|---|
Provider Name | Dr. Jacob Martin Stuebs |
First Address | Santa Barbara, CA 93101-2514 |
Second Address | Santa Barbara, CA 93101-2514 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2011 |
Last Update Date | 09/09/2021 |