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NPI Code Detail

MEDICARE: DR. ERWIN M JACOBS MD

MEDICARE: DR. ERWIN M JACOBS 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
12084N0400XNeurology Physician0101028904VA
22084P0800XPsychiatry Physician0101028904VA

General Provider Information

NPI Number : 1134236953
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERWIN M JACOBS MD
Provider Business Mailing Address
First Line : PO BOX 2445
Second Line :
City : CHESTER
State : VA
Zip : 23831-8447
Country : US
Telephone Number : 804-748-8411
Fax Number :
Provider Business Practice Location Address
First Line : 8119 HOLLAND RD
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22306-3135
Country : US
Telephone Number : 703-360-6910
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2006
Last Update Date : 12/07/2025

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