Eric K Jacobson, PA
Physician Assistant in Springfield, Vermont
1043617434- Practice location
- 390 River Street, Springfield, VT 05156-2226
- Phone
- 802-886-4500
- Fax
- 802-886-4560
- Last updated
- April 22, 2020
Eric K Jacobson is a Physician Assistant based in Springfield, VT. Eric K Jacobson practices in Springfield, VT and has the professional credentials of PA. The NPI Number for Eric K Jacobson is 1043617434 and holds a License No. PA09021 (TX). The current practice location address for Eric K Jacobson is 390 River Street, Springfield, VT 05156-2226 and can be reached out via phone at 802-886-4500 and via fax at 802-886-4560.
Provider Profile Details
- NPI Number
- 1043617434
- Provider Name
- Eric K Jacobson
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 390 River Street, Springfield, VT 05156-2226
- Phone Number
- 802-886-4500
- Fax Number
- 802-886-4560
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 1, 2014
- Last Update Date
- April 22, 2020
- Certification Date
- April 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 390 River Street
Springfield, VT 05156-2226 - City
- Springfield
- State
- Vermont
- Zip
- 05156-2226
- Phone Number
- 802-886-4500
- Fax Number
- 802-886-4560
Provider Business Mailing Address Details
- Address
- 390 River Street
Springfield, VT 05156-2226 - City
- Springfield
- State
- VT
- Zip
- 05156-2226
- Phone Number
- 802-886-4500
- Fax Number
- 802-886-4560
License Information
- License Number (1)
- PA09021
- License State (1)
- TX
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 055.0031321
- License State (2)
- VT
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Eric K Jacobson, PA?
The NPI number of Eric K Jacobson, PA is 1043617434. It was assigned on December 1, 2014 and is currently active in the NPPES registry.
What is the specialty of Eric K Jacobson, PA?
Eric K Jacobson, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in TX under license number PA09021.
Where does Eric K Jacobson, PA practice?
The practice location is 390 River Street, Springfield, VT 05156-2226. The office can be reached at 802-886-4500 (phone) or 802-886-4560 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043617434 directly on the NPPES registry website.