Search › Michigan › 207RC0000X
Chris Jacob, DO
NPI 1790163962 · on the registry since 2015
Practice
- Address
- 1000 E Paris Ave Se Ste 200
Grand Rapids, MI 49546 - Phone
- (616) 685-3450
- Fax
- (646) 685-3454
- Organisation at this address
- Freewill Inc
Hackley Hospital
Vp Rehab Care Inc.
Urology Surgeons Pc
Grand Rapids Rx LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 239
Additional practice sites
- 601 Elmwood Ave., Rochester, NY
- 1000 Oakland Dr, Kalamazoo, MI
- 1000 Oakland Dr, Kalamazoo, MI
- 24211 Little Mack Ave, Saint Clair Shores, MI
Registry record
- Primary taxonomy
- 207RC0000X
207RC0000X
- Also registered as
- 390200000X
207R00000X
390200000X
207RI0011X
208M00000X - Licence states on file
- MI, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-25
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 Michigan