Metcalf, Jacob

Metcalf, Jacob is an individual health care provider with primary practice located at 2701 9Th Ave S Ste E , Fargo ND 58103-8712. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Driver, Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Metcalf, Jacob can be contacted via phone (701) 223-2417.

Contact Information

Primary practice address
2701 9Th Ave S Ste E Fargo ND 58103-8712
Phone: (701) 223-2417
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X
Other Service Providers / Peer Specialist 175T00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1679164651
LBN Legal business name Metcalf, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2021
Last updated Apr 15th, 2021 - about 3 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 1679164651 NPPES
North Dakota MEDICAID 1481524

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