Brent A Jacobus, D.O.
NPI #1902807589 in Crown Point, Indiana
Provider Information
- NPI Number
- 1902807589
- Entity Type
- Individual
- Name
- Brent A Jacobus, D.O.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- D.O.
- Enumeration Date
- Aug 9, 2005
- Last Updated
- Nov 1, 2011
Practice Location
- Address
- 9150 E 109TH AVE STE 2A
- Address 2
- CROWN POINT
- City
- Crown Point
- State
- Indiana
- ZIP Code
- 46307-7686
- Phone
- (219) 226-1529
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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