Daigle, Jacob David
Daigle, Jacob David is an sole proprietor health care provider with primary practice located at 25102 Thornridge Dr , Grand Blanc MI 48439-9277. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Daigle, Jacob David can be contacted via phone (715) 573-8692.Contact Information
Primary practice address
25102 Thornridge Dr
Grand Blanc MI 48439-9277
Phone: (715) 573-8692
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 1107533-30 | Wisconsin |
Profile Details
| NPI number | 1215501218 |
|---|---|
| LBN Legal business name | Daigle, Jacob David |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 14th, 2021 |
| Last updated | Aug 14th, 2023 - about 2 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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