Kloser, Jacob

Kloser, Jacob is an sole proprietor health care provider with primary practice located at 21738 N 91St Ln , Peoria AZ 85382-8345. He recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as his primary health care specialty. Kloser, Jacob can be contacted via phone (602) 882-7601.

Contact Information

Primary practice address
21738 N 91St Ln Peoria AZ 85382-8345
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Attendant Care Provider 3747A0650X Arizona

Profile Details

NPI number 1386256642
LBN Legal business name Kloser, Jacob
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2020
Last updated Aug 18th, 2020 - about 4 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 1386256642 NPPES
Arizona MEDICAID 139846

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