IndividualActive
Jacob Carmichael, DPM
NPI 1003302068 · Podiatrist · Altoona, PA
Provider details
- NPI number
- 1003302068
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- SC007231 (PA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Student, Health Care
Practice location
914 S 12th St
Altoona, PA 16602-6247
Phone: (814) 201-2309
Fax: (814) 201-2389
Approximate (ZIP-level) locationGet directions
Mailing address
914 S 12th St
Altoona, PA 16602-6247
Additional practice locations (2)
- 350 Birch St Ste 100Patton, PA 16668-1138Phone: (814) 201-2309Fax: (814) 201-2389
- 99 Nason DrRoaring Spring, PA 16673-1203Phone: (814) 201-2309Fax: (814) 201-2389
Registry dates
- Enumerated
- 2018-07-02
- Last updated
- 2021-12-01
- Certified
- 2021-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.