Individual provider · Type 1 NPI

Benjamin Johnson Jacobs, MD

Military Health Care Provider · Virginia Beach, VA

NPI number 1689137788 Active

Practice location

1875 Cove Rd
Virginia Beach, VA 23459-8911

Call (757) 763-2060 Map

Mailing address

2000 Trident Way
San Diego, CA 92155-5599

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000X0101270564 (VA)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

2 other providers at this address

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About NPI 1689137788

Benjamin Johnson Jacobs, MD's National Provider Identifier is 1689137788, issued on Apr 8, 2019. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Virginia Beach, VA. The record was last updated on Sep 30, 2021.