Individual provider · Type 1 NPI
Jeffrey Jacobsen
Driver · West Sand Lake, NY
NPI number
1710349865
Active
Practice location
1007 Chamberlin Hill Rd Ext
West Sand Lake, NY 12196-2818
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 525239035 (NY) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1710349865
Jeffrey Jacobsen's National Provider Identifier is 1710349865, issued on Mar 27, 2016. The primary taxonomy on file is Driver (172A00000X), and the practice location is in West Sand Lake, NY. The record was last updated on Mar 27, 2016.