Dr. Elizabeth S Jacobs
MD | Pediatric Emergency Medicine | Female
Dr. Elizabeth S Jacobs, MD is a Providence, Rhode Island based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Elizabeth S Jacobs is
593 Eddy St, Claverick 2, Providence, Rhode Island - 02903. She can be contacted on phone at
401-519-1604 and fax number 401-272-0538.
Dr. Elizabeth S Jacobs is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Elizabeth S Jacobs is
1871516963 which was assigned by NPPES on 26 Jul, 2006 and it was last updated on 12 Feb, 2010.
Dr. Elizabeth S Jacobs license number is
MD12366 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Rhode Island.
Dr. Elizabeth S Jacobs has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Elizabeth S Jacobs basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Dr. Elizabeth S Jacobs |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Elizabeth S Jacobs address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 593 Eddy St, Claverick 2
Providence, RI, 02903
United States |
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| Phone Number : | 401-519-1604 |
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| Fax Number : | 401-272-0538 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1871516963 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Jul, 2006 |
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| Last Updated On : | 12 Feb, 2010 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Elizabeth S Jacobs are as mentioned. Primary taxonomy code for Dr. Elizabeth S Jacobs, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | MD12366 | RI |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Elizabeth S Jacobs such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 007059436 | Other | RI | RI MEDICARE |
| 07/24/2007 | Other | RI | BCBS |
| 09/13/2007 | Other | RI | NHPRI |
| 12/29/2008 | Other | MA | TUFTS HEALTH PLAN |
| 1871516963 | Other | RI | NPI |
| 939025129 | Other | RI | RI MEDICARE GROUP NUMBER |
| 04/15/2009 | Other | RI | UNITED HEALTHCARE |
| 1871516 | MEDICAID | RI | |
| 2135001 | MEDICAID | MA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 9484
Providence, RI, 02940-9484
United States |
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| Phone Number : | 401-854-2500 |
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| Fax Number : | 401-854-2519 |
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Business Location:
Patients can refer following map for directions to
Dr. Elizabeth S Jacobs practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.