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Contact Information

DOMINIC A JACOBELLI, MD
1000 S 52ND ST
ROGERS, AR72758
 Phone: 479-271-9607
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DOMINIC A JACOBELLI · (Male)

NPI # 1154601805
Status Active
Credentials MD
Entity Individual
Enumeration date 08/26/2011
Last updated 08/08/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E-11530
Hospital affiliation(s)
  • MERCY MEDICAL CENTER - (Acute Care)
    2710 RIFE MEDICAL LANE
    ROGERS, AR 72758
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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