Jacobs, Cory D

Jacobs, Cory D is an individual health care provider with primary practice located at 5435 Feltl Rd , Minnetonka MN 55343-7983. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Jacobs, Cory D can be contacted via phone (952) 835-9880.

Contact Information

Primary practice address
5435 Feltl Rd Minnetonka MN 55343-7983
Phone: (952) 835-9880
Fax: (952) 857-1554
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4744 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12171 Minnesota

Profile Details

NPI number 1205866894
LBN Legal business name Jacobs, Cory D
Credentials DC, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated May 2nd, 2017 - about 8 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 1205866894 NPPES
Minnesota MEDICAID 1205866894

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