Jacobsmeyer, Douglas Edmund
Jacobsmeyer, Douglas Edmund is an sole proprietor health care provider with primary practice located at 2118 Riverside Dr Ste 105, Mount Vernon WA 98273-5454. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jacobsmeyer, Douglas Edmund can be contacted via phone (360) 424-6104.Contact Information
Primary practice address
2118 Riverside Dr Ste 105
Mount Vernon WA 98273-5454
Phone: (360) 424-6104
Fax: (360) 424-6009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH00001611 | Washington |
Profile Details
| NPI number | 1538165725 |
|---|---|
| LBN Legal business name | Jacobsmeyer, Douglas Edmund |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Sep 12th, 2007 - about 17 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 | 1538165725 | NPPES |
| Washington | Other | 11666 | REGENCE BLUE CROSS |
| Washington | Other | 17631 | REGENCE BLUE CROSS |
| Washington | MEDICAID | 2088409 | REGENCE BLUE CROSS |
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