Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD-46268 | IA |
N | 207X00000X | Orthopaedic Surgeon | R9821 | IA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD-46268 | IA |
NPI | 1194163972 |
---|---|
Provider Name | Dr. Jacob Matthias Elkins |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2013 |
Last Update Date | 21/06/2019 |