Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Matthew Jacob, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093344822

Mr. Matthew Jacob, MD is a Student in an Organized Health Care Education/Training Program in Warren, Ohio. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1350 E Market Street 7th Fl
Warren, OH 44483
Phone: (330) 841-9647
Fax: (330) 841-9645
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1093344822
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 3, 2020
Last updated in NPPESApril 3, 2020
Certification dateApril 3, 2020
Mailing address1350 East Market Street, 7th Floor, Warren, OH 44483

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