Comstock, Jacob

Comstock, Jacob is an sole proprietor health care provider with primary practice located at 412 W Pacific St , Blackfoot ID 83221-1726. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Comstock, Jacob can be contacted via phone (208) 201-1743.

Contact Information

Primary practice address
412 W Pacific St Blackfoot ID 83221-1726
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCSW-34156 Idaho

Profile Details

NPI number 1386039675
LBN Legal business name Comstock, Jacob
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2015
Last updated Sep 28th, 2015 - about 11 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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