Hostetler, Jacob
Hostetler, Jacob is an sole proprietor health care provider with primary practice located at 4602 Us Highway 59 , Grove OK 74344-4229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hostetler, Jacob can be contacted via phone (918) 877-1211.Contact Information
Primary practice address
4602 Us Highway 59
Grove OK 74344-4229
Phone: (918) 877-1211
Fax: (918) 877-1216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 31475 | Oklahoma |
Profile Details
| NPI number | 1265829485 |
|---|---|
| LBN Legal business name | Hostetler, Jacob |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2015 |
| Last updated | Nov 13th, 2022 - about 2 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 | 1265829485 | NPPES |
| Oklahoma | MEDICAID | 200659910B |
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