Coronado, Jacob

Coronado, Jacob is an individual health care provider with primary practice located at 1700 S Assembly Rd Ste 300 , Spokane WA 99224-2116. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Coronado, Jacob can be contacted via phone (509) 892-9241.

Contact Information

Primary practice address
1700 S Assembly Rd Ste 300 Spokane WA 99224-2116
Phone: (509) 892-9241
Fax: (509) 892-9251
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1073058293
LBN Legal business name Coronado, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 24th, 2016
Last updated Jul 28th, 2022 - about 3 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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