NPI 1043617434

Eric K Jacobson, PA

Practitioner Physician Assistant Springfield, VT

Practice location

Address: 390 River Street, Springfield, VT 05156-2226
Phone: (802) 886-4500
Fax: (802) 886-4560

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 055.0031321 (VT)

Other Physician Assistant providers in Vermont →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA09021 (TX)

Registry record

NPI: 1043617434
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Dec 2014
Record last updated: 22 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.