Dr. Jack Jacob
M.D. | Pediatric Neonatal-Perinatal Medicine | Male
Dr. Jack Jacob, M.D. is a Anchorage, Alaska based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Dr. Jack Jacob is
3340 Providence Dr, Suite 366, Anchorage, Alaska - 99508-4616. He can be contacted on phone at
907-563-3026 and fax number 907-562-6445.
Dr. Jack Jacob is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Jack Jacob is
1437111093 which was assigned by NPPES on 06 Apr, 2006 and it was last updated on 08 Jul, 2007.
Dr. Jack Jacob license number is
1643 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Alaska.
Dr. Jack Jacob is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Dr. Jack Jacob basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Dr. Jack Jacob |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Jack Jacob 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 : | 3340 Providence Dr, Suite 366
Anchorage, AK, 99508-4616
United States |
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| Phone Number : | 907-563-3026 |
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| Fax Number : | 907-562-6445 |
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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 : | 1437111093 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Apr, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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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. Jack Jacob are as mentioned. Primary taxonomy code for Dr. Jack Jacob, M.D. is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 1643 | AK |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jack Jacob such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| MD1643 | MEDICAID | AK | |
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 : | 3340 Providence Dr, Suite 366
Anchorage, AK, 99508-4616
United States |
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| Phone Number : | 907-563-3026 |
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| Fax Number : | 907-562-6445 |
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Business Location:
Patients can refer following map for directions to
Dr. Jack Jacob practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.