Balyeat, Jacob
Balyeat, Jacob is an sole proprietor health care provider with primary practice located at 2200 Randallia Dr , Fort Wayne IN 46805-4638. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Balyeat, Jacob can be contacted via phone (260) 373-3430.Contact Information
Primary practice address
2200 Randallia Dr
Fort Wayne IN 46805-4638
Phone: (260) 373-3430
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 26023313A | Indiana |
Profile Details
NPI number | 1770867889 |
---|---|
LBN Legal business name | Balyeat, Jacob |
Credentials | PHARMD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 7th, 2011 |
Last updated | Oct 7th, 2011 - about 14 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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