Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN CHARLES PICK-JACOBS, D.O.
ActiveDR. JOHN CHARLES PICK-JACOBS, D.O. is a Sports Medicine healthcare provider located in KENOSHA, Wisconsin. NPI 1255607057 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · KENOSHA, WI
Registration Details
- NPI Number
- 1255607057
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 26, 2012 (14.342407716102 yrs)
- Last Updated
- Sep 17, 2018
- License
-
61756-21 (WI)
Practice Information
- Address
-
7401 104TH AVE STE 110KENOSHA, WI, 53142Browse WI providers · Browse ZIP 53142
- Phone
- 2627645595
- Primary Specialty
-
Sports Medicine
207QS0010X
Other Sports Medicine Providers in KENOSHA, WI
| Name | Credential | NPI |
|---|---|---|
| DR. ALTAMASH TARIQ IFTIKHAR | D.O. | 1821431859 |
| DR. MYRIAM JACYNTHE DONOVITCH | M.D | 1093332389 |
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.