Dr. Mack D Jacobs
Primary Podiatric Medicine
16 Pocono Rd Suite 115
Denville
, New Jersey 07834-2901
Dr. Mack D Jacobs
Primary Podiatric Medicine
16 Pocono Rd Suite 115
Denville
, New Jersey 07834-2901
(973) 625-1163
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Mack D Jacobs
- 16 Pocono Rd Suite 115
- Denville, NJ
- Zip : 07834-2901
- Phone : (973) 625-1163
Second Address
- Dr. Mack D Jacobs
- 16 Pocono Rd Suite 115
- Denville, NJ
- Zip : 07834-2901
- Phone : (973) 625-1163
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | MD 1085 | NJ |
National Provider Identifier
| NPI | 1386795870 |
|---|---|
| Provider Name | Dr. Mack D Jacobs |
| First Address | Denville, NJ 07834-2901 |
| Second Address | Denville, NJ 07834-2901 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/01/2007 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| CO 480537 | (02) | NJ |
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.