Jacques, Pete A.
Jacques, Pete A. is an individual health care provider with primary practice located at 2202 S Cedar St Ste. #310, Tacoma WA 98405-2318. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Jacques, Pete A. can be contacted via phone (253) 272-5127.Contact Information
Primary practice address
2202 S Cedar St Ste. #310
Tacoma WA 98405-2318
Phone: (253) 272-5127
Fax: (253) 404-0506
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA10001731 | Washington |
Profile Details
| NPI number | 1104890656 |
|---|---|
| LBN Legal business name | Jacques, Pete A. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Jun 15th, 2009 - about 15 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 | 1104890656 | NPPES |
| Washington | Other | PA10001731 | WA LICENSE |
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