Jeffrey T Jacob
Neurosurgeon
46325 W 12 Mile Rd Ste 100
Novi
, Michigan 48377
Jeffrey T Jacob
Neurosurgeon
46325 W 12 Mile Rd Ste 100
Novi
, Michigan 48377
(248) 869-3982
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Jeffrey T Jacob
- 46325 W 12 Mile Rd Ste 100
- Novi, MI
- Zip : 48377
- Fax : (248) 869-3982
- Phone : (877) 784-3667
Second Address
- Jeffrey T Jacob
- 46325 W 12 Mile Rd Ste 100
- Novi, MI
- Zip : 48377
- Fax : (248) 869-3982
- Phone : (877) 784-3667
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | 50861 | MN |
National Provider Identifier
| NPI | 1073715686 |
|---|---|
| Provider Name | Jeffrey T Jacob |
| First Address | Novi, MI 48377 |
| Second Address | Novi, MI 48377 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2007 |
| Last Update Date | 06/07/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| ENROLLED | (05) | IA |
| ENROLLED | (05) | MN |
| ENROLLED | (05) | WI |
| P01152444 | RAILROAD MEDICARE (01) | MN |
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.