Anderson, Jacob
Anderson, Jacob is an sole proprietor health care provider with primary practice located at 1905 Daniels St Apt 10 , Vancouver WA 98660-2500. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Anderson, Jacob can be contacted via phone (231) 620-7445.Contact Information
Primary practice address
1905 Daniels St Apt 10
Vancouver WA 98660-2500
Phone: (231) 620-7445
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1346802253 |
|---|---|
| LBN Legal business name | Anderson, Jacob |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2019 |
| Last updated | Jul 1st, 2019 - about 6 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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