NPI 1881484426

Timothy G Jacobson

Practitioner Driver Waterloo, IA

Practice location

Address: 701 Lorraine Ave, Waterloo, IA 50702-3959
Phone: (319) 239-2955

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 259DD3969 (IA)

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Registry record

NPI: 1881484426
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 May 2025
Record last updated: 7 May 2025

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.