Provider Demographics
NPI:1285970178
Name:JACOBS, THOMAS Q (DC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:Q
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 1:2030 BEE RIDGE RD
Mailing Address - Street 2:NATURAL HEALING ARTS
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-6108
Mailing Address - Country:US
Mailing Address - Phone:941-923-3772
Mailing Address - Fax:941-954-3800
Practice Address - Street 1:2030 BEE RIDGE RD
Practice Address - Street 2:NATURAL HEALING ARTS
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-6108
Practice Address - Country:US
Practice Address - Phone:941-923-3772
Practice Address - Fax:941-954-3800
Is Sole Proprietor?:No
Enumeration Date:2012-12-20
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 10751111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor