Jacobs, Richard Dean

Jacobs, Richard Dean is an individual health care provider with primary practice located at 710 S Kenwood Ave , Moose Lake MN 55767-9405. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Jacobs, Richard Dean can be contacted via phone (218) 485-5634.

Contact Information

Primary practice address
710 S Kenwood Ave Moose Lake MN 55767-9405
Phone: (218) 485-5634
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2412 Minnesota

Profile Details

NPI number 1851544290
LBN Legal business name Jacobs, Richard Dean
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2008
Last updated Oct 29th, 2008 - about 16 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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