Healthcare Provider Details

I. General information

NPI: 1861327918
Provider Name (Legal Business Name): JACOB SCHONBERG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 VILCOM CIR STE 340
CHAPEL HILL NC
27514-1872
US

IV. Provider business mailing address

125 POPPY TRL
DURHAM NC
27713-2470
US

V. Phone/Fax

Practice location:
  • Phone: 919-445-0660
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: