Gilmore, Jacob
Gilmore, Jacob is an sole proprietor health care provider with primary practice located at 4930 Enterprise Dr Nw , Warren OH 44481-8706. He recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as his primary health care specialty. Gilmore, Jacob can be contacted via phone (330) 787-0955.Contact Information
Primary practice address
4930 Enterprise Dr Nw
Warren OH 44481-8706
Phone: (330) 787-0955
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | 170920 | Ohio |
Profile Details
| NPI number | 1396397527 |
|---|---|
| LBN Legal business name | Gilmore, Jacob |
| Credentials | CDCA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2019 |
| Last updated | Jul 9th, 2019 - about 6 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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