Heiser, Jacob

Heiser, Jacob is an individual health care provider with primary practice located at 1113 S State St Ste 202 , Dover DE 19901-4112. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Heiser, Jacob can be contacted via phone (302) 261-5600.

Contact Information

Primary practice address
1113 S State St Ste 202 Dover DE 19901-4112
Phone: (302) 261-5600
Fax: (302) 450-3181
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1124783774
LBN Legal business name Heiser, Jacob
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2021
Last updated Aug 14th, 2023 - about 3 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 1124783774 NPPES
Delaware Other C50011629 DE PROFESSIONAL LICENSE

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