Jay A Jacobson
Infectious Disease
8th Ave & C Street Lds Hospital
Salt Lake City
, Utah 84143-1005
Jay A Jacobson
Infectious Disease
8th Ave & C Street Lds Hospital
Salt Lake City
, Utah 84143-1005
(801) 408-1006
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- Jay A Jacobson
- Po Box 27128
- Salt Lake City, UT
- Zip : 84127-0128
- Phone : (801) 408-1006
Second Address
- Jay A Jacobson
- 8th Ave & C Street Lds Hospital
- Salt Lake City, UT
- Zip : 84143-1005
- Phone : (801) 408-1006
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0200X | Infectious Disease | 1622731205 | UT |
National Provider Identifier
| NPI | 1013934462 |
|---|---|
| Provider Name | Jay A Jacobson |
| First Address | Salt Lake City, UT 84127-0128 |
| Second Address | Salt Lake City, UT 84143-1005 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/07/2006 |
| Last Update Date | 16/10/2007 |
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.