Provider Demographics
NPI:1548710791
Name:CAIL, JACOB (PA-C)
Entity type:Individual
Prefix:
First Name:JACOB
Middle Name:
Last Name:CAIL
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:2735 COLONIAL DR STE B
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-4971
Mailing Address - Country:US
Mailing Address - Phone:406-389-8045
Mailing Address - Fax:406-389-4616
Practice Address - Street 1:2735 COLONIAL DR STE B
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-4971
Practice Address - Country:US
Practice Address - Phone:406-389-8045
Practice Address - Fax:406-389-4616
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-12
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MTMED-PAC-LIC-51385363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical