Jacobs, Richard Dean
Jacobs, Richard Dean is an individual health care provider with primary practice located at 710 S Kenwood Ave , Moose Lake MN 55767-9405. 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. Jacobs, Richard Dean can be contacted via phone (218) 485-5634.Contact Information
Primary practice address
710 S Kenwood Ave
Moose Lake MN 55767-9405
Phone: (218) 485-5634
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2412 | Minnesota |
Profile Details
| NPI number | 1851544290 |
|---|---|
| LBN Legal business name | Jacobs, Richard Dean |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 29th, 2008 |
| Last updated | Oct 29th, 2008 - about 18 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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