Smith, Jacob

Smith, Jacob is an individual health care provider with primary practice located at 960 W Southern Ave Apt 2006 , Mesa AZ 85210-4968. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Smith, Jacob can be contacted via phone (602) 488-6496.

Contact Information

Primary practice address
960 W Southern Ave Apt 2006 Mesa AZ 85210-4968
Phone: (602) 488-6496
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1043825698
LBN Legal business name Smith, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2020
Last updated Sep 10th, 2020 - about 6 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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