Jacoby, Michael R.K.

Jacoby, Michael R.K. is an individual health care provider with primary practice located at 1111 6Th Ave East Tower Suite A100, Des Moines IA 50314-2613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Jacoby, Michael R.K. can be contacted via phone (515) 358-0011.

Contact Information

Primary practice address
1111 6Th Ave East Tower Suite A100 Des Moines IA 50314-2613
Phone: (515) 358-0011
Fax: (515) 358-0099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 29279 Iowa

Profile Details

NPI number 1346354198
LBN Legal business name Jacoby, Michael R.K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Mar 17th, 2010 - about 15 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 1346354198 NPPES
Iowa MEDICAID 3099994

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