SearchIndiana208G00000X

Samuel Jacob, MD

NPI 1992931414 · on the registry since 2009

Practice

Address
2525 W University Ave Ste 300
Muncie, IN 47303
Phone
(765) 747-3883
Organisation at this address
Pa Labs Inc
Pavilion Pediatrics, Llc
Associates In Women'S Health Pc
Muncie Surgical Associates, Inc
University Dermatology Center Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
163

Additional practice sites

  • 4500 San Pablo Rd S, Jacksonville, FL

Registry record

Primary taxonomy
208G00000X
208G00000X
Also registered as
208G00000X
208G00000X
Licence states on file
FL, IN, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-15

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