National Provider Identifier
John A Jacobs, RD
John A Jacobs, RD is listed in the NPPES registry with a primary specialty of Registered Dietitian in Horseheads, NY and a listed phone number of (607) 795-2820.
Profile Overview
- NPI
- 1427205996
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- August 26, 2008
- Last Updated
- June 13, 2016
Practice Location
- 100 John Roemmelt Dr
- Suite 202
- Horseheads, NY 14845-8301
Phone: (607) 795-2820
Mailing Address
- 571 Saint Josephs Blvd Fl 2
- Elmira, NY 14901-3230
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1427205996
- Entity Type
- Individual
- Last Name
- Jacobs
- First Name
- John
- Middle Name
- A
- Credential
- RD
- Mailing Street Address
- 571 Saint Josephs Blvd Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Practice Street Address
- 100 John Roemmelt Dr
- Practice Address Line 2
- Suite 202
- Practice City
- Horseheads
- Practice State
- NY
- Practice ZIP Code
- 14845-8301
- Practice Country
- US
- Practice Phone
- (607) 795-2820
- Practice Fax
- (607) 795-2821
- Enumeration Date
- August 26, 2008
- Last Updated
- June 13, 2016
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)
- Other Identifiers
- 103046786 (PA), 03576318 (NY)