Jacobs, Edward
Jacobs, Edward is an individual health care provider with primary practice located at 8910 Vernon Rd , Lake Stevens WA 98258-2400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Jacobs, Edward can be contacted via phone (425) 335-0966.Contact Information
Primary practice address
8910 Vernon Rd
Lake Stevens WA 98258-2400
Phone: (425) 335-0966
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00029257 | Washington |
Profile Details
| NPI number | 1104891324 |
|---|---|
| LBN Legal business name | Jacobs, Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Dec 11th, 2012 - about 12 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 | 1104891324 | NPPES |
| Washington | MEDICAID | 1002537 |
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