Jacob Elder

Peer Specialist · Monroe, MI

Individual Active NPI

NPI number 1871078212

Practice location

1001 S Raisinville Rd
Monroe, MI 48161-9754
Phone
(734) 243-7340

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NPI record

NPI
1871078212
Entity type
Individual (Type 1)
Enumeration date
October 2, 2018
Last updated
October 2, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — —

Other practice locations (1)

  • 1001 S Raisinville Rd, Monroe, MI 48161-9754 · (734) 243-7340

About Jacob Elder

Jacob Elder is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 1001 S Raisinville Rd, Monroe, MI 48161-9754. The NPI number 1871078212 was assigned on October 2, 2018 and the record was last updated on October 2, 2018.

Frequently asked questions

What is the NPI number of Jacob Elder?

The NPI number is 1871078212.

What is the phone number of Jacob Elder?

The phone number listed for the practice location is (734) 243-7340.

Where is Jacob Elder located?

1001 S Raisinville Rd, Monroe, MI 48161-9754.

What is the taxonomy code for Jacob Elder?

The primary taxonomy code is 175T00000X – Peer Specialist.

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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