Mrs. Marileen Ann Jacobs
Orthotic Fitter
1512 E Gilbert Ave
Coeur D Alene
, Idaho 83815-6216
Mrs. Marileen Ann Jacobs
Orthotic Fitter
1512 E Gilbert Ave
Coeur D Alene
, Idaho 83815-6216
(208) 667-4733
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Mrs. Marileen Ann Jacobs
- 1512 E Gilbert Ave
- Coeur D Alene, ID
- Zip : 83815-6216
- Fax : (208) 667-4733
- Phone : (208) 664-4398
Second Address
- Mrs. Marileen Ann Jacobs
- 1512 E Gilbert Ave
- Coeur D Alene, ID
- Zip : 83815-6216
- Fax : (208) 667-4733
- Phone : (208) 664-4398
Reviews
FAQs
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Is Mrs. Marileen Ann Jacobs a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter |
National Provider Identifier
| NPI | 1023019494 |
|---|---|
| Provider Name | Mrs. Marileen Ann Jacobs |
| First Address | Coeur D Alene, ID 83815-6216 |
| Second Address | Coeur D Alene, ID 83815-6216 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/08/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000010014587 | REGENCE BLUE SHIELD (01) | ID |
| 8A760 | BLUE CROSS (01) | ID |
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.