National Provider Identifier
Patti L Jacobson, DC
Patti L Jacobson, DC is listed in the NPPES registry with a primary specialty of Chiropractor in Ithaca, NY and a listed phone number of (607) 273-7682.
Profile Overview
- NPI
- 1427024009
- Provider Type
- Individual
- Primary Specialty
- Chiropractor
- Enumeration Date
- February 24, 2006
- Last Updated
- September 25, 2013
Practice Location
- 122 West Court St
- Ste 102
- Ithaca, NY 14850
Phone: (607) 273-7682
Specialties
- Chiropractor (111N00000X)
Full Record
- NPI
- 1427024009
- Entity Type
- Individual
- Last Name
- Jacobson
- First Name
- Patti
- Middle Name
- L
- Credential
- DC
- Mailing Street Address
- 122 West Court St
- Mailing Address Line 2
- Ste 102
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850
- Mailing Country
- US
- Mailing Phone
- (607) 273-7682
- Mailing Fax
- (607) 273-1738
- Practice Street Address
- 122 West Court St
- Practice Address Line 2
- Ste 102
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850
- Practice Country
- US
- Practice Phone
- (607) 273-7682
- Practice Fax
- (607) 273-1738
- Enumeration Date
- February 24, 2006
- Last Updated
- September 25, 2013
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Chiropractor (111N00000X)
- Other Identifiers
- RB2133 (NY, Medicare Individual Ptan), BA1012 (NY, Medicare Group Ptan)