Michelsen, Jacob
Michelsen, Jacob is an individual health care provider with primary practice located at 2005 Arlington Ave , Caldwell ID 83605-4808. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Michelsen, Jacob can be contacted via phone (208) 459-1025.Contact Information
Primary practice address
2005 Arlington Ave
Caldwell ID 83605-4808
Phone: (208) 459-1025
Fax: (208) 466-5359
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1841803533 |
|---|---|
| LBN Legal business name | Michelsen, Jacob |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2020 |
| Last updated | Aug 24th, 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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