Dieseru, Jacob S

Dieseru, Jacob S is an sole proprietor health care provider with primary practice located at 3740 Ramona Dr Apt B , Fort Worth TX 76116-7070. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Dieseru, Jacob S can be contacted via phone (682) 360-1115.

Contact Information

Primary practice address
3740 Ramona Dr Apt B Fort Worth TX 76116-7070
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1619435021
LBN Legal business name Dieseru, Jacob S
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2019
Last updated Mar 5th, 2019 - about 5 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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