Individual provider · Type 1 NPI

Matthew Jacob, MD

Student in an Organized Health Care Education/Training Program · Warren, OH

NPI number 1093344822 Active

Practice location

1350 East Market Street, 7th Floor
Warren, OH 44483

Call (330) 841-9647 Map

Fax (330) 841-9645

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093344822

Matthew Jacob, MD's National Provider Identifier is 1093344822, issued on Apr 3, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Warren, OH. The record was last updated on Apr 3, 2020.