Search › Minnesota › 103TC0700X
Scott Jacoby, PH.D
NPI 1073826913 · on the registry since 2010
Practice
- Address
- 2110 Lyndale Ave S
Minneapolis, MN 55405 - Phone
- (952) 353-5931
- Organisation at this address
- Novelty Mutual Inc
Novelty Enterprises
Jinow TransportationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TB0200X
103TP2701X - Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-07-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota