LOIS J JACOBS MD PHD S C NPI 1982887253

NPI Information

NPI: 1982887253
Provider Name: LOIS J JACOBS MD PHD S C
Classification: Clinic/Center - 261QM2500X
Specialization: Medical Specialty
Entity Type: Organization
Address: 1510 ARBORETUM DR
OSHKOSH, WI
ZIP 54901
Phone: (920) 231-5313

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NPI Details

LOIS J JACOBS MD PHD S C is a medical specialty clinic center in Oshkosh, WI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). LOIS J JACOBS MD PHD S C NPI is 1982887253. The provider is registered as an organization entity type.

The provider's business location address is:

1510 ARBORETUM DR
OSHKOSH, WI
ZIP 54901-790
Phone: (920) 231-5313
Fax: (920) 231-5348

The provider's authorized official is Lois J Jacobs .
The authorized official title is President and has the following contact phone number (920) 231-5313.

The enumeration date for this NPI number is 12/10/2007 and was last updated on 2/7/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM2500X	Clinic/Center	Medical Specialty	30302	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	31609600	MEDICAID	WISCONSIN
2	E47582	MEDICARE UPIN	WISCONSIN

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: 3/30/2025

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