Jacob, Travis David

Jacob, Travis David is an individual health care provider with primary practice located at 901 Macarthur Blvd , Munster IN 46321. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Jacob, Travis David can be contacted via phone (219) 836-1600.

Contact Information

Primary practice address
901 Macarthur Blvd Munster IN 46321
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH. 03234093 Ohio

Profile Details

NPI number 1508273376
LBN Legal business name Jacob, Travis David
Credentials PHARM D
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2014
Last updated Jun 13th, 2018 - 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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