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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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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