Jacob Sup, DO is a family medicine in Caldwell, ID with 7 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Jacob Sup, DO NPI is 1295266401. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: AT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduation Year:2017
The provider's business location address is:
2005 ARLINGTON AVE
CALDWELL, ID
ZIP 83605-808
Phone: (208) 459-1025
Fax: (208) 459-1080
The NPI 1295266401 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/21/2017 and was last updated on 8/7/2020.