Jacobs, Corey Duane

Jacobs, Corey Duane is an individual health care provider with primary practice located at 1550 Elk Creek Dr , Idaho Falls ID 83404-8322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Jacobs, Corey Duane can be contacted via phone (208) 529-5942.

Contact Information

Primary practice address
1550 Elk Creek Dr Idaho Falls ID 83404-8322
Phone: (208) 529-5942
Fax: (208) 529-5951
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X M-15890 Idaho
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 27305 Alabama

Profile Details

NPI number 1598790024
LBN Legal business name Jacobs, Corey Duane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Sep 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598790024 NPPES
Alabama MEDICAID 009938418
Alabama MEDICAID 808198200
Alabama Other 20022468
Alabama Other 51539428

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