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Contact Information

PATTI L JACOBSON, DC
122 WEST COURT ST
STE 102
ITHACA, NY14850
 Phone: 607-273-7682
 Fax: 607-273-1738
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for PATTI L JACOBSON · (Female)

NPI # 1427024009
Status Active
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 02/24/2006
Last updated 09/25/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 005961
  • NY Other BA1012 MEDICARE GROUP PTAN
  • NY Other RB2133 MEDICARE INDIVIDUAL PTAN
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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