Yates, Jacob Carl
Yates, Jacob Carl is an sole proprietor health care provider with primary practice located at 15 Cypress Branch Way Ste 205 , Palm Coast FL 32164-8414. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Yates, Jacob Carl can be contacted via phone (386) 445-1880.Contact Information
Primary practice address
15 Cypress Branch Way Ste 205
Palm Coast FL 32164-8414
Phone: (386) 445-1880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2416DT | Kentucky |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC6592 | Florida |
Profile Details
| NPI number | 1780412957 |
|---|---|
| LBN Legal business name | Yates, Jacob Carl |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2024 |
| Last updated | Dec 19th, 2024 - about 2 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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