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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 LlcInferred 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