Gorbaty, Jacob

Gorbaty, Jacob is an individual health care provider with primary practice located at 11307 Bridgeport Way Sw Ste 220A , Lakewood WA 98499-3024. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Gorbaty, Jacob can be contacted via phone (253) 985-6675.

Contact Information

Primary practice address
11307 Bridgeport Way Sw Ste 220A Lakewood WA 98499-3024
Phone: (253) 985-6675
Fax: (253) 985-6678
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 218845 North Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD61266815 Washington
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD61266815 Washington

Profile Details

NPI number 1356705669
LBN Legal business name Gorbaty, Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2016
Last updated Apr 1st, 2025 - about last year

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 1356705669 NPPES
Washington MEDICAID 2207992

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