Jacobi, Susan

Jacobi, Susan is an individual health care provider with primary practice located at 8421 Plum Dr , Des Moines IA 50322-7356. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Jacobi, Susan can be contacted via phone (515) 643-9699.

Contact Information

Primary practice address
8421 Plum Dr Des Moines IA 50322-7356
Fax: (515) 643-9698
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 35944 Iowa

Profile Details

NPI number 1225143316
LBN Legal business name Jacobi, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Aug 3rd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225143316 NPPES
Iowa MEDICAID 0458612

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