Walters, Jacob

Walters, Jacob is an individual health care provider with primary practice located at 421 W Exchange St , Freeport IL 61032-4030. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Walters, Jacob can be contacted via phone (815) 599-7300.

Contact Information

Primary practice address
421 W Exchange St Freeport IL 61032-4030
Phone: (815) 599-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1689710592
LBN Legal business name Walters, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jul 8th, 2007 - 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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