DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. EDWARD CORNELIOUS JACOBS, M.D.

Active

Urology · KETTERING, OH

Registration Details

NPI Number
1255330676
Provider Type
Individual
Gender
Male
NPI Issued
Jul 18, 2005 (20.763971589051 yrs)
Last Updated
Mar 5, 2015
Licenses
G16625 (CA)
014971 (ME)
32702 (MA)
35-07-3367-J (OH)
35073367 (OH)

Practice Information

Address
10 SOUTHMOOR CIR NW
KETTERING, OH, 454292486
Browse OH providers · Browse ZIP 45429
Phone
9372941489
Fax
9372976468
Primary Specialty
Urology
208800000X
Additional Specialty
Specialist
Additional Specialty
Specialist
Additional Specialty
Specialist
Additional Specialty
Urology

Other Urology Providers in KETTERING, OH

Name Credential NPI
DR. SAMMY A. HAMWAY M.D. 1346321965
DAVID A HADLEY MD 1225223043
KUWONG BOMWARA MWAMUKONDA M. D. 1689849192
DR. DANIEL THOMAS PUCHERIL M.D., M.B.A 1215298104
RAJIVA RANJAN SINGH MD 1023597143
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.