Phillips, Jacob Tazewell

Phillips, Jacob Tazewell is an individual health care provider with primary practice located at 433 Abney Rd , Coal City WV 25823. He recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as his primary health care specialty. Phillips, Jacob Tazewell can be contacted via phone (304) 683-9140.

Contact Information

Primary practice address
433 Abney Rd Coal City WV 25823
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1891309522
LBN Legal business name Phillips, Jacob Tazewell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2020
Last updated Sep 1st, 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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