| Jonathan Jacobs MD LLC | |
|
12140 Nall Ave Suite 100 Overland Park KS 66209-2503 | |
| (913) 451-8500 | |
| (913) 451-8526 |
| Full Name | Jonathan Jacobs MD LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 12140 Nall Ave, Overland Park, Kansas |
| Authorized Official Name and Position | Jonathan Todd Jacobs (OWNER) |
| Authorized Official Contact | 9134518500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Jacobs MD LLC 12140 Nall Ave Suite 100 Overland Park KS 66209-2503 Ph: (913) 451-8500 | Jonathan Jacobs MD LLC 12140 Nall Ave Suite 100 Overland Park KS 66209-2503 Ph: (913) 451-8500 |
| NPI Number | 1740476860 |
|---|---|
| Provider Enumeration Date | 09/21/2007 |
| Last Update Date | 10/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740476860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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