Phillips, Jacob

Phillips, Jacob is an individual health care provider with primary practice located at 21810 Ne 37Th Ave , Ridgefield WA 98642-7747. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Phillips, Jacob can be contacted via phone (360) 241-5695.

Contact Information

Primary practice address
21810 Ne 37Th Ave Ridgefield WA 98642-7747
Phone: (360) 241-5695
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X CG61240416 Washington

Profile Details

NPI number 1770211047
LBN Legal business name Phillips, Jacob
Credentials CPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2022
Last updated Aug 12th, 2022 - 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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