Mr. Dominic Amadeo Jacobelli
Sports Medicine Orthopaedic Surgeon
1000 S 52nd St
Rogers
, Arkansas 72758
Mr. Dominic Amadeo Jacobelli
Sports Medicine Orthopaedic Surgeon
1000 S 52nd St
Rogers
, Arkansas 72758
(479) 271-9607
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Mr. Dominic Amadeo Jacobelli
- 1000 S 52nd St
- Rogers, AR
- Zip : 72758-8610
- Phone : (479) 271-9607
Second Address
- Mr. Dominic Amadeo Jacobelli
- 1000 S 52nd St
- Rogers, AR
- Zip : 72758
- Phone : (479) 271-9607
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | E-11530 | AR |
National Provider Identifier
| NPI | 1154601805 |
|---|---|
| Provider Name | Mr. Dominic Amadeo Jacobelli |
| First Address | Rogers, AR 72758-8610 |
| Second Address | Rogers, AR 72758 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/08/2011 |
| Last Update Date | 08/08/2018 |
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.