Jakubowski, Gerhard Heinz

Jakubowski, Gerhard Heinz is an individual health care provider with primary practice located at Po Box 4000 , Polacca AZ 86042-4000. He recently has only one registered license in Nursing Service Providers / Emergency, which is considered as his primary health care specialty. Jakubowski, Gerhard Heinz can be contacted via phone (928) 737-6000.

Contact Information

Primary practice address
Po Box 4000 Polacca AZ 86042-4000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X RN104727 Arizona

Profile Details

NPI number 1578073805
LBN Legal business name Jakubowski, Gerhard Heinz
Credentials RN , BSN, CFRN
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2017
Last updated Sep 29th, 2017 - 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 1578073805 NPPES
Arizona MEDICAID 020529

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