MEDICARE: JACOB ELFRINK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	2020018208	MO

General Provider Information

NPI Number	:	1699395327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACOB ELFRINK MD

Provider Business Mailing Address
First Line	:	2305 S HIGHWAY 65
Second Line	:
City	:	MARSHALL
State	:	MO
Zip	:	65340-3702
Country	:	US
Telephone Number	:	660-886-7431
Fax Number	:

Provider Business Practice Location Address
First Line	:	2305 S HIGHWAY 65
Second Line	:
City	:	MARSHALL
State	:	MO
Zip	:	65340-3702
Country	:	US
Telephone Number	:	660-886-7431
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2020
Last Update Date	:	03/25/2026

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