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Patti L Jacobson, DC
Chiropractor in Ithaca, New York
NPI 1427024009

Patti L Jacobson is a Chiropractor based in Ithaca, NY. Patti L Jacobson practices in Ithaca, NY and has the professional credentials of DC. The NPI Number for Patti L Jacobson is 1427024009 and holds a License No. 005961 (New York).

The current practice location address for Patti L Jacobson is 122 West Court St, Ithaca, NY and can be reached out via phone at 607-273-7682 and via fax at 607-273-1738.

Location: 122 West Court St, Ithaca, NY, 14850
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427024009
Provider Name
Patti L Jacobson
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
122 West Court St, Ithaca, NY, 14850
Phone Number
607-273-7682
Fax Number
607-273-1738
Provider Enumeration Date
02/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RB2133 01 NY MEDICARE INDIVIDUAL PTAN
BA1012 01 NY MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
122 West Court St
City
Ithaca
State
New York
Zip
14850
Phone Number
607-273-7682
Fax Number
607-273-1738
person
Provider Business Mailing Address Details
Address
122 West Court St
City
Ithaca
State
New York
Zip
14850
Phone Number
607-273-7682
Fax Number
607-273-1738
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
005961 (New York)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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