Jacobs, Chad Lawrence
Jacobs, Chad Lawrence is an individual health care provider with primary practice located at 21907 64Th Ave W Ste 200 , Mountlake Terrace WA 98043-6200. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Jacobs, Chad Lawrence can be contacted via phone (317) 695-8041.Contact Information
Primary practice address
21907 64Th Ave W Ste 200
Mountlake Terrace WA 98043-6200
Phone: (317) 695-8041
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 11004760 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP61025855 | Washington |
Profile Details
| NPI number | 1336783893 |
|---|---|
| LBN Legal business name | Jacobs, Chad Lawrence |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 29th, 2019 |
| Last updated | Nov 15th, 2021 - about 3 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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