Tanner, Jacob C

Tanner, Jacob C is an sole proprietor health care provider with primary practice located at 13800 Heacock St Ste C236 , Moreno Valley CA 92553-3364. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Tanner, Jacob C can be contacted via phone (951) 656-2614.

Contact Information

Primary practice address
13800 Heacock St Ste C236 Moreno Valley CA 92553-3364
Phone: (951) 656-2614
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1467772806
LBN Legal business name Tanner, Jacob C
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2010
Last updated Mar 24th, 2011 - about 15 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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