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Dr. Benjamin Johnson Jacobs, MD
Military Health Care Provider in Virginia Beach, Virginia
NPI 1689137788

Benjamin Johnson Jacobs is a Military Health Care Provider based in San Diego, VA. Benjamin Johnson Jacobs practices in Virginia Beach, VA and has the professional credentials of MD. The NPI Number for Benjamin Johnson Jacobs is 1689137788 and holds a License No. 0101270564 (Virginia).

The current practice location address for Benjamin Johnson Jacobs is 1875 Cove Rd, Virginia Beach, VA and can be reached out via phone at 757-763-2060.

Location: 1875 Cove Rd, Virginia Beach, VA, 92155-5599
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689137788
Provider Name
Benjamin Johnson Jacobs
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1875 Cove Rd, Virginia Beach, VA, 92155-5599
Phone Number
757-763-2060
Fax Number
Provider Enumeration Date
04/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1875 Cove Rd
City
Virginia Beach
State
Virginia
Zip
23459-8911
Phone Number
757-763-2060
Fax Number
person
Provider Business Mailing Address Details
Address
1875 Cove Rd
City
Virginia Beach
State
Virginia
Zip
23459-8911
Phone Number
757-763-2060
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
0101270564 (Virginia)
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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