Brian Jacobs
Technician, Personal Care Attendant in Middlefield, OH. Individual provider (NPI-1).
NPI number1295413136
StatusActive
Last updated in NPPESJul 10, 2023
Details
- NPI
- 1295413136
- Entity type
- Individual (NPI-1)
- Name
- Brian Jacobs
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 10, 2023
- Certification date
- Jul 10, 2023
- Last updated
- Jul 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
14864 Northview DrMiddlefield, OH 44062-9254
Phone 216-702-7107
Mailing address
14864 Northview DrMiddlefield, OH 44062-9254
Phone 216-702-7107
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