Lake, Jacob Brody Hood

Lake, Jacob Brody Hood is an individual health care provider with primary practice located at 34101 Farenholt Ave Bldg 14 , San Diego CA 92134-7000. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Lake, Jacob Brody Hood can be contacted via phone (757) 376-3269.

Contact Information

Primary practice address
34101 Farenholt Ave Bldg 14 San Diego CA 92134-7000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1871355974
LBN Legal business name Lake, Jacob Brody Hood
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2024
Last updated Jan 25th, 2024 - about 10 months 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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