Dr JACOB M SHORT is a male medical professional, specializing in Physician Assistant. He graduated in 2007.
ULTIMATE HEALTH SERVICES INC
2860 3RD AVE
HUNTINGTON
WV
257021453
Tel:
| Npi | 1447447503 |
| Pac Id | 6406938174 |
| Professional Enrollment Id | I20080204000128 |
| Last Name | SHORT |
| First Name | JACOB |
| Middle Name | M |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | ULTIMATE HEALTH SERVICES INC |
| Group Practice Pac Id | 8921912536 |
| Number Of Group Practice Members | 82 |
| Line 1 Street Address | 2860 3RD AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 257021453 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 430083 |
| Hospital Affiliation Lbn 1 | PHS INDIAN HOSPITAL AT EAGLE BUTTE |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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