IndividualActive
Timothy Jacobson
NPI 1881484426 · Driver · Waterloo, IA
Provider details
- NPI number
- 1881484426
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 259DD3969 (IA)
Specialties & taxonomies
Other Service Providers
Practice location
701 Lorraine Ave
Waterloo, IA 50702-3959
Phone: (319) 239-2955
Approximate (ZIP-level) locationGet directions
Mailing address
701 Lorraine Ave
Waterloo, IA 50702-3959
Registry dates
- Enumerated
- 2025-05-07
- Last updated
- 2025-05-07
- Certified
- 2025-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.