Jacobs, Durell

Jacobs, Durell is an individual health care provider with primary practice located at 34101 Farenholt Ave Bldg 14 , San Diego CA 92134-5291. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Jacobs, Durell can be contacted via phone (619) 532-7968.

Contact Information

Primary practice address
34101 Farenholt Ave Bldg 14 San Diego CA 92134-5291
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X 1710L1002X- California

Profile Details

NPI number 1508231606
LBN Legal business name Jacobs, Durell
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2015
Last updated Dec 1st, 2015 - about 10 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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