Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES N JACOBS, MD
ActiveNephrology · WATERVILLE, ME
Registration Details
- NPI Number
- 1710953476
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 23, 2006 (20.224074654146 yrs)
- Last Updated
- Oct 16, 2012
- License
-
013355 (ME)
Practice Information
- Address
-
149 NORTH STWATERVILLE, ME, 049014974Browse ME providers · Browse ZIP 04901
- Phone
- 2078721293
- Fax
- 2078721091
- Primary Specialty
-
Nephrology
207RN0300X
Other Nephrology Providers in WATERVILLE, ME
| Name | Credential | NPI |
|---|---|---|
| TIMOTHY HENDRICKSON | DO | 1861468522 |
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.