Dieseru, Jacob S
Dieseru, Jacob S is an sole proprietor health care provider with primary practice located at 3740 Ramona Dr Apt B , Fort Worth TX 76116-7070. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Dieseru, Jacob S can be contacted via phone (682) 360-1115.Contact Information
Primary practice address
3740 Ramona Dr Apt B
Fort Worth TX 76116-7070
Phone: (682) 360-1115
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
| NPI number | 1619435021 |
|---|---|
| LBN Legal business name | Dieseru, Jacob S |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2019 |
| Last updated | Mar 5th, 2019 - about 7 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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