Jacob Smith

Contractor · Mesa, AZ

Individual Active NPI

NPI number 1043825698

Practice location

960 W Southern Ave Apt 2006
Mesa, AZ 85210-4968
Phone
(602) 488-6496

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NPI record

NPI
1043825698
Entity type
Individual (Type 1)
Enumeration date
September 10, 2020
Last updated
September 10, 2020
Certified
September 10, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Contractor Primary 171W00000X — —

About Jacob Smith

Jacob Smith is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 960 W Southern Ave Apt 2006, Mesa, AZ 85210-4968. The NPI number 1043825698 was assigned on September 10, 2020 and the record was last updated on September 10, 2020.

Frequently asked questions

What is the NPI number of Jacob Smith?

The NPI number is 1043825698.

What is the phone number of Jacob Smith?

The phone number listed for the practice location is (602) 488-6496.

Where is Jacob Smith located?

960 W Southern Ave Apt 2006, Mesa, AZ 85210-4968.

What is the taxonomy code for Jacob Smith?

The primary taxonomy code is 171W00000X – Contractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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