Briscoe, Jacob J

Briscoe, Jacob J is an individual health care provider with primary practice located at 3333 N Seminary St , Galesburg IL 61401-1251. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Briscoe, Jacob J can be contacted via phone (309) 344-3161.

Contact Information

Primary practice address
3333 N Seminary St Galesburg IL 61401-1251
Phone: (309) 344-3161
Fax: (309) 344-9498
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 041341872 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209007627 Illinois

Profile Details

NPI number 1972736551
LBN Legal business name Briscoe, Jacob J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2009
Last updated Jun 8th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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