person
James R Jacobson
Military Health Care Provider in Grand Forks, North Dakota
NPI 1134881469

James R Jacobson is a Military Health Care Provider based in San Antonio, ND. James R Jacobson practices in Grand Forks, ND. The NPI Number for James R Jacobson is 1134881469 and holds a License No. (North Dakota).

The current practice location address for James R Jacobson is 1599 Jones Street, Grand Forks, ND and can be reached out via phone at 701-747-5560.

Location: 1599 Jones Street, Grand Forks, ND, 78234-1535
person
Provider Profile Details
NPI Number
1134881469
Provider Name
James R Jacobson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1599 Jones Street, Grand Forks, ND, 78234-1535
Phone Number
701-747-5560
Fax Number
Provider Enumeration Date
10/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1599 Jones Street
City
State
Zip
58201
Phone Number
701-747-5560
Fax Number
person
Provider Business Mailing Address Details
Address
1599 Jones Street
City
State
Zip
58201
Phone Number
701-747-5560
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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