Dr. Michael Duane Jacobson
Family Doctor - Addiction Medicine
2261 Philadelphia Dr
Dayton
, Ohio 45406-1814
Dr. Michael Duane Jacobson
Family Doctor - Addiction Medicine
2261 Philadelphia Dr
Dayton
, Ohio 45406-1814
(888) 615-8287
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About
Features
Specialties
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Michael Duane Jacobson
- 4222 Tylersville Rd
- West Chester, OH
- Zip : 45011-8634
- Fax : (888) 615-8287
- Phone : (513) 860-1099
Second Address
- Dr. Michael Duane Jacobson
- 2261 Philadelphia Dr
- Dayton, OH
- Zip : 45406-1814
- Phone : (937) 734-6700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 34. 005720 | OH |
National Provider Identifier
| NPI | 1639390651 |
|---|---|
| Provider Name | Dr. Michael Duane Jacobson |
| First Address | West Chester, OH 45011-8634 |
| Second Address | Dayton, OH 45406-1814 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2007 |
| Last Update Date | 05/04/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0249609 | (05) | OH |
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.