Jacob Richardville
Jacob Richardville is an Internal Medicine in Fort Wayne, Indiana. Qualified in 2013, 13 years ago. Practices with Parkview Health System Inc, a 1,336-clinician group and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 13
- Licensed in
- IN
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
Fort Wayne, INNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 01074982A (IN) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1174865091 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 18, 2013 |
| Last updated in NPPES | October 7, 2022 |
| Certification date | October 7, 2022 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Parkview Health System Inc — 1336 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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