Fleet, Jacob R
Fleet, Jacob R is an sole proprietor health care provider with primary practice located at 1550 N 115Th St , Seattle WA 98133-8401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fleet, Jacob R can be contacted via phone (206) 368-1558.Contact Information
Primary practice address
1550 N 115Th St
Seattle WA 98133-8401
Phone: (206) 368-1558
Fax: (206) 368-5751
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00042503 | Washington |
Profile Details
| NPI number | 1356347579 |
|---|---|
| LBN Legal business name | Fleet, Jacob R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Feb 5th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356347579 | NPPES |
| Washington | MEDICAID | 8538038 |
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