Provider Demographics
NPI:1346597523
Name:BAIR, JACOB ALEXANDER (DO)
Entity Type:Individual
Prefix:DR
First Name:JACOB
Middle Name:ALEXANDER
Last Name:BAIR
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:8700 E MARKET ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-2340
Mailing Address - Country:US
Mailing Address - Phone:330-856-1035
Mailing Address - Fax:330-856-6500
Practice Address - Street 1:8700 E MARKET ST
Practice Address - Street 2:SUITE 4
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-2340
Practice Address - Country:US
Practice Address - Phone:330-856-1035
Practice Address - Fax:330-856-6500
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-07
Last Update Date:2015-08-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH34.011557207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine