Jacobs, Corey Duane
Jacobs, Corey Duane is an individual health care provider with primary practice located at 1550 Elk Creek Dr , Idaho Falls ID 83404-8322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Jacobs, Corey Duane can be contacted via phone (208) 529-5942.Contact Information
Primary practice address
1550 Elk Creek Dr
Idaho Falls ID 83404-8322
Phone: (208) 529-5942
Fax: (208) 529-5951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | M-15890 | Idaho |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 27305 | Alabama |
Profile Details
| NPI number | 1598790024 |
|---|---|
| LBN Legal business name | Jacobs, Corey Duane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Sep 13th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598790024 | NPPES |
| Alabama | MEDICAID | 009938418 | |
| Alabama | MEDICAID | 808198200 | |
| Alabama | Other | 20022468 | |
| Alabama | Other | 51539428 |
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