Jacobus, David

Jacobus, David is an sole proprietor health care provider with primary practice located at 686 Nw 9Th St , Ontario OR 97914-1600. He recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as his primary health care specialty. Jacobus, David can be contacted via phone (541) 889-9167.

Contact Information

Primary practice address
686 Nw 9Th St Ontario OR 97914-1600
Phone: (541) 889-9167
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1174071153
LBN Legal business name Jacobus, David
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2016
Last updated Sep 19th, 2016 - about 9 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.

Request for update

Popular Providers