Dr. Mark Kevin Jacob
Internist Pulmonary Disease Critical Care Medicine
300 E Warwick Dr
Alma
, Michigan 48801-1014
Dr. Mark Kevin Jacob
Internist Pulmonary Disease Critical Care Medicine
300 E Warwick Dr
Alma
, Michigan 48801-1014
(913) 909-7400
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About
Features
Specialties
- Internist
- Critical Care Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Dr. Mark Kevin Jacob
- 160 Allen St Medical Staff Office
- Rutland, VT
- Zip : 05701-4560
- Phone : (913) 909-7400
Second Address
- Dr. Mark Kevin Jacob
- 300 E Warwick Dr
- Alma, MI
- Zip : 48801-1014
- Phone : (989) 774-1101
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 4301086585 | MI |
| N | 111NI0900X | Internist | 4301086585 | MI |
| N | 207RC0200X | Critical Care Medicine | 04-331614 | KS |
| N | 207RP1001X | Pulmonary Disease | 04-331614 | KS |
| Y | 207RP1001X | Pulmonary Disease | 2011-01117 | NC |
National Provider Identifier
| NPI | 1063688497 |
|---|---|
| Provider Name | Dr. Mark Kevin Jacob |
| First Address | Rutland, VT 05701-4560 |
| Second Address | Alma, MI 48801-1014 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/05/2008 |
| Last Update Date | 05/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1653F | BCBSNC (01) | NC |
| 5919082 | (05) | NC |
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.