DR. KEVIN CHARLES JACOB (NPI# 1063492486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063492486 |
| Entity Type | Individual |
| Full Name | DR. KEVIN CHARLES JACOB |
| Credential | DC |
| Practice Address |
3820 S Lapeer Rd Metamora MI 48455-8751 |
| Practice Telephone | 9106782414 |
| Practice Fax Number | 8106783936 |
| Mailing Telephone | 9106782414 |
| Mailing Fax Number | 8106783936 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301008846 | MI | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750902714 | Kevin Jacob | Student in an Organized Health Care Education/Training Program | 500 S Preston St Rm 305, Louisville, KY 40202-1702 | 2020-04-30 |
| 1124173521 | Kevin Sean Jacob | Optometrist | 20 Ferguson Blvd, Dry Ridge, KY 41035-8635 | 2007-01-24 |
| Street Address |
3820 S LAPEER RD |
| City | METAMORA |
| State | MI |
| Zip Code | 48455-8751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225223167 | Jacob Family Chiropractic Plc | Chiropractor | 3820 S Lapeer Rd, Metamora, MI 48455-8751 | 2007-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205490745 | Lydia Schwerin | Technician, Other | 5316 Thomas Rd, Metamora, MI 48455 | 2019-04-30 |
| 1518329838 | Lauren Elsner | Social Worker | 1080 Invitational Drive, Metamora, MI 48455 | 2016-03-25 |
| 1699081281 | Katie L Mysen | Nurse Practitioner | 1371 Masters Dr, Metamora, MI 48455 | 2010-08-20 |
| 1093955866 | Sandra Hembree | Nurse Practitioner | 3159 Autumn View Lane, Metamora, MI 48455 | 2009-03-05 |
| 1124176599 | Christine Rene Muzychka | Dentist | 4053 S.lapeer Rd, Suite B, Metamora, MI 48455 | 2007-01-08 |
| 1508808072 | Roger Curtis Gietzen | Psychiatry & Neurology | 3630-b Thornville Rd., Metamora, MI 48455 | 2006-06-11 |
| 1508961590 | Ammar El Nachef | Psychiatry & Neurology | 4053 S Lapeer Rd, Suite D, Metamora, MI 48455 | 2006-09-14 |
| 1750876173 | Mobicare, LLC | Nurse Practitioner | 1371 Masters Dr, Metamora, MI 48455-8701 | 2018-06-27 |
| 1306443486 | Pyles Family Dentistry Pllc | Clinic/Center | 4053 S Lapeer Rd Ste B, Metamora, MI 48455-8718 | 2020-10-02 |
| 1497798326 | Heidi R Irwin | Physical Therapist | 4053 S Lapeer Rd, Ste C, Metamora, MI 48455-8721 | 2006-06-14 |
| Find all providers in zip 48455 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427237239 | Adams Chiropractic Clinic, PC | Chiropractor | 215 W Mt Vernon, Metamora, IL 61548 | 2007-10-29 |
| 1063561322 | Timothy Wayne Kaufman | Chiropractor | 387 Old Germantown Rd, Metamora, IL 61548-8679 | 2007-01-09 |
| 1770646374 | R and R Chiropractic, Inc. | Chiropractor | 119 East Partridge, Metamora, IL 61548-0354 | 2006-12-18 |
| 1639255508 | Kathryn Braun | Chiropractor | 119 E Partridge St, Metamora, IL 61548-0354 | 2006-10-31 |
| 1093786279 | Marcus F. Adams | Chiropractor | 215 W Mt Vernon Rd, Metamora, IL 61548-0590 | 2006-01-27 |
| 1710332408 | Wolfe Family Chiropractic Pllc | Chiropractor | 830 W Dryden Rd, Metamora, MI 48455-8901 | 2016-04-29 |
| 1629432224 | Hannah Wolfe | Chiropractor | 830 W Dryden Rd, Metamora, MI 48455-8901 | 2016-04-09 |
| 1023485505 | Alexander Wolfe | Chiropractor | 830 W Dryden Rd, Metamora, MI 48455-8901 | 2015-08-31 |
| 1225223167 | Jacob Family Chiropractic Plc | Chiropractor | 3820 S Lapeer Rd, Metamora, MI 48455-8751 | 2007-09-13 |
| 1740497957 | Kaufman Wellness Center, Ltd | Chiropractor | 387 Old Germantown Rd, Metamora, IL 61548-8679 | 2007-05-17 |
| Find all providers in METAMORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.