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DR. DALE GARY JACOBSON MD
NPI 1346357860
Family Medicine in Walworth, WI

Active since August 23, 2006
525 KENOSHA ST, #A, WALWORTH, WI 53184(262) 275-2101(262) 275-0752 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Dale Gary Jacobson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DALE GARY JACOBSON MD (NPI 1346357860) is an individual family medicine provider in Walworth, Wisconsin, licensed in Wisconsin (23975) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1346357860
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DALE GARY JACOBSONCredential: MD
Location Address525 KENOSHA ST, #AWalworth, WI 53184
Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (414) 647-6326 · Fax (414) 671-8860
Phone(262) 275-2101
Fax(262) 275-0752
Sole ProprietorNo
Enumeration DateAugust 23, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1346357860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 23975
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
525 KENOSHA ST, Walworth, WI 53184
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Other Identifiers 1

Medicaid30394600WI

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHEN ANDREW COLE M.D.
Family Medicine
525 KENOSHA ST, SUITE A
WALWORTH, WI 53184
Walworth County (262) 275-2101
DR. NATHAN C GILLING D.O.
Family Medicine
525 KENOSHA ST
WALWORTH, WI 53184
Walworth County (262) 275-2101
MEGAN R HOPP NP
Nurse Practitioner
525 KENOSHA ST, STE A
WALWORTH, WI 53184
Walworth County (262) 275-2101
DR. LINDSEY E TUNTLAND MD
Family Medicine
525 KENOSHA ST
WALWORTH, WI 53184
Walworth County (262) 275-2101
AURORA MEDICAL GROUP, INC.
Durable Medical Equipment & Medical Supplies
525 KENOSHA ST, STE A
WALWORTH, WI 53184
Walworth County (262) 275-2101
AURORA PHARMACY INC
Pharmacy (Clinic Pharmacy)
525 KENOSHA ST, SUITE C
WALWORTH, WI 53184
Walworth County (262) 275-0936

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dale Jacobson's NPI number?

The NPI number for Dale Jacobson is 1346357860. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Dale Jacobson located?

Dale Jacobson practices at 525 Kenosha St #a, Walworth, WI 53184. The listed phone number is (262) 275-2101.

What is Dale Jacobson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Dale Jacobson was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.