Wheeler, Jacob

Wheeler, Jacob is an individual health care provider with primary practice located at 925 Highland Blvd Ste 1100 , Bozeman MT 59715-6900. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Wheeler, Jacob can be contacted via phone (406) 414-4550.

Contact Information

Primary practice address
925 Highland Blvd Ste 1100 Bozeman MT 59715-6900
Phone: (406) 414-4550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 79505 Montana

Profile Details

NPI number 1174973564
LBN Legal business name Wheeler, Jacob
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2016
Last updated Jul 29th, 2021 - about 4 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 1174973564 NPPES
Montana MEDICAID 1174973564

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