SearchIndianaFamily Medicine Physician

Brent Jacobus, D.O

NPI 1902807589 · on the registry since 2005

Practice

Address
9150 E 109th Ave Ste 2a
Crown Point
Crown Point, IN 46307
Phone
(219) 226-1529
Fax
(219) 226-2994
Organisation at this address
Nwi Mdvip Llc
Rci (Wrs), Llc.
Refuge Clinic, Llc
Willows Holdings Llc
David A. Bleza Md Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
Family Medicine Physician
207Q00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-11-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana