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MARY ANN JACOB M.D. LLC NPI 1437462363


NPI Information

NPI: 1437462363
Provider Name: MARY ANN JACOB, M.D., LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 02D0962945

Address:
2841 DEBARR RD
SUITE 45
ANCHORAGE, AK
ZIP 99508
Phone: (907) 274-0274
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MARY ANN JACOB, M.D., LLC is a pediatrics in Anchorage, AK. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MARY ANN JACOB, M.D., LLC NPI is 1437462363. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2841 DEBARR RD
SUITE 45
ANCHORAGE, AK
ZIP 99508-958
Phone: (907) 274-0274

The provider's authorized official is Mary Ann Jacob .
The authorized official title is Member/manager and has the following contact phone number (907) 274-0274.

The CLIA number assigned to this NPI record is 02D0962945 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/20/2010 and was last updated on 7/20/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics128883ALASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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