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Contact Information

MICHAEL K JACOBS, MD
3918 MONTCLAIR RD
SUITE 105
MOUNTAIN BROOK, AL35213-2425
 Phone: 205-705-3550
 Fax: 205-705-3554
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatopathology

207ND0900X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for MICHAEL K JACOBS · (Male)

NPI # 1134157597
Status Active
Credentials MD
Entity Individual
Enumeration date 06/28/2006
Last updated 01/04/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 25031
  • AR License # E6005
  • CA License # A110841
  • CO License # DR0050087
  • FL License # ME100342
  • GA License # 060107
  • LA License # MD.201843
  • MS License # 21330
  • NC License # 2008-00217
  • NJ License # 25MA08863300
  • SC License # MD31313
  • TN License # 42796
  • TX License # N2577
  • VA License # 0101245015
  • AL Other 51136288 BLUE CROSS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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