Most Relevant Information
Provider Data
| NPI Number: | 1003302068 |
| Provider Name: | JACOB CARMICHAEL DPM |
| Entity Type: | Individual |
| Taxonomy Code: | 213EP1101X |
| Specialty: | Podiatrist |
| License Number: | SC007231 |
Most Important Dates
| Enumeration Date: | 07/02/2018 |
| Last Updated: | 12/01/2021 |
Provider Practice Location
914 S 12TH ST
ALTOONA
PA
166026247
Practice Location Phone/Fax
| Phone: | 8142012309 |
| Fax: | 8142012389 |
Provider Mailing Location
914 S 12TH ST
ALTOONA
PA
166026247
Provider Mailing Phone/Fax
| Phone: | 8142012309 |
| Fax: | 8142012389 |
Suggested EMR
Podiatry EMR