Weirich, Jacob A.

Weirich, Jacob A. is an individual health care provider with primary practice located at 2635 N 7Th St , Grand Junction CO 81501. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Weirich, Jacob A. can be contacted via phone (970) 298-2551.

Contact Information

Primary practice address
2635 N 7Th St Grand Junction CO 81501
Phone: (970) 298-2551
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5823 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0004273 Colorado

Profile Details

NPI number 1174925309
LBN Legal business name Weirich, Jacob A.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2014
Last updated May 10th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174925309 NPPES
Colorado Other 553172YYS0 MEDICARE B FOR MOUNTAIN PEAKS URGENT CARE
Colorado MEDICAID 22506080 MEDICARE B FOR MOUNTAIN PEAKS URGENT CARE

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