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Contact Information

SUSANNA JACOBS, DPM
300 COLORADO AVE
PUEBLO, CO81004-2006
 Phone: 719-543-8718
 Fax: 719-585-3057
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for SUSANNA JACOBS · (Female)

NPI Number 1750792313
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/15/2014
Last updated 07/31/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CO License # POD.0000818
Hospital affiliation(s)
  • PARKVIEW MEDICAL CENTER INC - (Acute Care)
    400 W 16TH STREET
    PUEBLO, CO 81003
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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