Deese, Jacob

Deese, Jacob is an individual health care provider with primary practice located at 13333 Dorman Rd , Pineville NC 28134-9336. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Deese, Jacob can be contacted via phone (704) 716-1024.

Contact Information

Primary practice address
13333 Dorman Rd Pineville NC 28134-9336
Phone: (704) 716-1024
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X LAT-2888 North Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X P20196 North Carolina

Profile Details

NPI number 1073047759
LBN Legal business name Deese, Jacob
Credentials PT, DPT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2017
Last updated Feb 9th, 2021 - about 4 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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