Provider Demographics
NPI:1952551855
Name:JACOBS, ADAM JONATHAN (DC)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:JONATHAN
Last Name:JACOBS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 WASHINGTON ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-2344
Mailing Address - Country:US
Mailing Address - Phone:415-788-8700
Mailing Address - Fax:415-788-8702
Practice Address - Street 1:425 WASHINGTON ST
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111-2344
Practice Address - Country:US
Practice Address - Phone:415-788-8700
Practice Address - Fax:415-788-8702
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-26
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-31019111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician