Depew, Jacob Tyler

Depew, Jacob Tyler is an sole proprietor health care provider with primary practice located at 833 Montlieu Ave , High Point NC 27262-4221. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Depew, Jacob Tyler can be contacted via phone (336) 841-4500.

Contact Information

Primary practice address
833 Montlieu Ave High Point NC 27262-4221
Phone: (336) 841-4500
Fax: (336) 841-9182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1828 North Carolina

Profile Details

NPI number 1033402474
LBN Legal business name Depew, Jacob Tyler
Credentials MS, ATC, LAT, PES
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2011
Last updated May 18th, 2011 - about 14 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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