Cover, Jacob M.

Cover, Jacob M. is an individual health care provider with primary practice located at 3530 S Val Vista Dr , Gilbert AZ 85297-7318. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Cover, Jacob M. can be contacted via phone (602) 933-7528.

Contact Information

Primary practice address
3530 S Val Vista Dr Gilbert AZ 85297-7318
Phone: (602) 933-7528
Fax: (602) 933-4296
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X LPT-33181 Arizona

Profile Details

NPI number 1083498349
LBN Legal business name Cover, Jacob M.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2023
Last updated Jun 21st, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083498349 NPPES
Arizona MEDICAID 133209

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