Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ED JACOBS, PHD
Active Sole ProprietorDR. ED JACOBS, PHD is a Counselor healthcare provider located in STAR CITY, West Virginia. NPI 1831310473 is currently active in the NPPES registry. Verify at CMS.
Counselor · STAR CITY, WV
Registration Details
- NPI Number
- 1831310473
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2007 (19.262107135246 yrs)
- Last Updated
- Jul 8, 2007
- License
-
650 (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
457 BROADWAY AVESTAR CITY, WV, 26505Browse WV providers · Browse ZIP 26505
- Phone
- 3045990109
- Fax
- 3045996683
- Primary Specialty
-
Counselor
101Y00000X
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.