Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES A JACOBSON, M.D.
Active Sole ProprietorCHARLES A JACOBSON, M.D. is a Orthopaedic Surgery healthcare provider located in MOSCOW, Idaho. NPI 1760492656 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Surgery · MOSCOW, ID
Registration Details
- NPI Number
- 1760492656
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2006 (20.023224394506 yrs)
- Last Updated
- Aug 4, 2015
- Licenses
-
M6567 (ID)31851 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2500 W A STSUITE 201MOSCOW, ID, 838435065Browse ID providers · Browse ZIP 83843
- Phone
- 2088832828
- Fax
- 2088822179
- Primary Specialty
-
Orthopaedic Surgery
207X00000X
- Additional Specialty
- Orthopaedic Surgery
Other Orthopaedic Surgery Providers in MOSCOW, ID
| Name | Credential | NPI |
|---|---|---|
| DR. MARVIN RENELL KYM | MD | 1316932601 |
| LEO Y CHOUGH | MD | 1053397901 |
| DR. AARON JAMES VANDENBOS | M.D. | 1740571066 |
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.