Puglisi, Jacob Charles

Puglisi, Jacob Charles is an individual health care provider with primary practice located at 700 24Th St , Fort Lee VA 23801-1716. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Puglisi, Jacob Charles can be contacted via phone (804) 734-9226.

Contact Information

Primary practice address
700 24Th St Fort Lee VA 23801-1716
Phone: (804) 734-9226
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 0126000285 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110003638 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110003638 Virginia

Profile Details

NPI number 1902867617
LBN Legal business name Puglisi, Jacob Charles
Credentials P.A, A.T.C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Dec 23rd, 2020 - about 5 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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