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John P Jacobs, MD
Radiation Oncology Physician in Richmond, Indiana
NPI 1568454163

John P Jacobs is a Radiation Oncology Physician based in Indianapolis, IN and is specialized in Radiation Oncology. John P Jacobs practices in Richmond, IN and has the professional credentials of MD. The NPI Number for John P Jacobs is 1568454163 and holds a License No. 01045864 (Indiana).

The current practice location address for John P Jacobs is 1401 Chester Blvd, Richmond, IN and can be reached out via phone at 765-983-3168 and via fax at 765-983-3275.

Location: 1401 Chester Blvd, Richmond, IN, 46204-1334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568454163
Provider Name
John P Jacobs
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1401 Chester Blvd, Richmond, IN, 46204-1334
Phone Number
765-983-3168
Fax Number
765-983-3275
Provider Enumeration Date
08/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000588411 01 IN ANTHEM PIN
1487680518 01 IN GROUP NPI
200288740 01 IN GROUP MEDICAID
200109120 05 IN
100194370 01 IN GROUP MEDICAID
institution
Provider Business Practice Location Address Details
Address
1401 Chester Blvd
City
Richmond
State
Indiana
Zip
47374-1908
Phone Number
765-983-3168
Fax Number
765-983-3275
person
Provider Business Mailing Address Details
Address
1401 Chester Blvd
City
Richmond
State
Indiana
Zip
47374-1908
Phone Number
765-983-3168
Fax Number
765-983-3275
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
01045864 (Indiana)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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