Individual provider · Type 1 NPI
Jacob S. Form, D.P.M.
Podiatrist · Lafayette Hill, PA
Practice location
4129 Franklin Way
Lafayette Hill, PA 19444-1300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist Primary | 213E00000X | SC002170L (PA) |
Podiatrist: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
About NPI 1356367494
Jacob S. Form, D.P.M.'s National Provider Identifier is 1356367494, issued on Jul 14, 2006. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Lafayette Hill, PA. The record was last updated on Apr 27, 2012.