Jacobs, John

Jacobs, John is an sole proprietor health care provider with primary practice located at 3236 E Grand Ave Ste D , Laramie WY 82070-5100. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Jacobs, John can be contacted via phone (307) 760-8602.

Contact Information

Primary practice address
3236 E Grand Ave Ste D Laramie WY 82070-5100
Phone: (307) 760-8602
Fax: (307) 460-9880
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN.0990808-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2259982 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 34286.1346 Wyoming

Profile Details

NPI number 1497184378
LBN Legal business name Jacobs, John
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2013
Last updated Nov 14th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497184378 NPPES
Wyoming MEDICAID P01679910

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