Jacob Lane, DC is a
Chiropractor based in North Salt Lake, Utah. Jacob Lane is licensed to practice in Utah (license number 13606131-1202) and his current practice location is
940 N 400 E Ste 204, North Salt Lake, Utah. He can be reached at his office (for appointments etc.) via phone at
(903) 922-9156.
NPI number for Jacob Lane is 1487492591 and his current mailing address is 940 N 400 E Ste 204, North Salt Lake, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487492591.
Healthcare Provider's Profile
| Full Name | Jacob Lane |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 940 N 400 E Ste 204, North Salt Lake, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1487492591
- Provider Enumeration Date: 07/15/2024
- Last Update Date: 07/15/2024
Medical Identifiers
Medical identifiers for Jacob Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487492591 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 13606131-1202 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Lane is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jacob Lane, DC
940 N 400 E Ste 204,
North Salt Lake, UT 84054-1985
Ph: () - | Jacob Lane, DC
940 N 400 E Ste 204,
North Salt Lake, UT 84054-1985
Ph: (903) 922-9156 |
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