Jacob, Daryl

Jacob, Daryl is an individual health care provider with primary practice located at 111 Michigan Ave Nw , Washington DC 20010-2916. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Jacob, Daryl can be contacted via phone (888) 884-2327.

Contact Information

Primary practice address
111 Michigan Ave Nw Washington DC 20010-2916
Phone: (888) 884-2327
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 7680 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X AA000080 District of Columbia

Profile Details

NPI number 1942686316
LBN Legal business name Jacob, Daryl
Credentials CAA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2015
Last updated Feb 6th, 2020 - about 5 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 1942686316 NPPES
District of Columbia Other AA000080 NCCAA CERTIFICATION

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