Savageau, Jacob
Savageau, Jacob is an individual health care provider with primary practice located at 2701 9Th Ave S Ste E , Fargo ND 58103-8712. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Driver, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Savageau, Jacob can be contacted via phone (701) 715-3178.Contact Information
Primary practice address
2701 9Th Ave S Ste E
Fargo ND 58103-8712
Phone: (701) 715-3178
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Other Service Providers / Driver | 172A00000X | ||
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1093306078 |
|---|---|
| LBN Legal business name | Savageau, Jacob |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2021 |
| Last updated | Apr 1st, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093306078 | NPPES |
| North Dakota | MEDICAID | 1481525 |
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