Luke, Jacob Dylan
Luke, Jacob Dylan is an sole proprietor health care provider with primary practice located at 935B Spring St , Placerville CA 95667-4523. He recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as his primary health care specialty. Luke, Jacob Dylan can be contacted via phone (530) 621-6213.Contact Information
Primary practice address
935B Spring St
Placerville CA 95667-4523
Phone: (530) 621-6213
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | 95345401 | California |
Profile Details
| NPI number | 1114780764 |
|---|---|
| LBN Legal business name | Luke, Jacob Dylan |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2024 |
| Last updated | Feb 5th, 2024 - about 9 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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