Davis, Jacob Andrew

Davis, Jacob Andrew is an individual health care provider with primary practice located at 304 Glen Carin Dr Ne , Rockford MI 49341-9395. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Davis, Jacob Andrew can be contacted via phone (616) 481-1357.

Contact Information

Primary practice address
304 Glen Carin Dr Ne Rockford MI 49341-9395
Phone: (616) 481-1357
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1023541927
LBN Legal business name Davis, Jacob Andrew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2017
Last updated Apr 6th, 2017 - about 8 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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