Jacobs, Elisabeth Doran
Jacobs, Elisabeth Doran is an individual health care provider with primary practice located at 20200 54Th Ave W , Lynnwood WA 98036-6318. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jacobs, Elisabeth Doran can be contacted via phone (425) 672-6518.Contact Information
Primary practice address
20200 54Th Ave W
Lynnwood WA 98036-6318
Phone: (425) 672-6518
Fax: (425) 672-6518
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A75610 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD60117921 | Washington |
Profile Details
| NPI number | 1831246966 |
|---|---|
| LBN Legal business name | Jacobs, Elisabeth Doran |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Apr 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831246966 | NPPES |
| California | MEDICAID | 00A756100 |
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