Roland, Jacob
Roland, Jacob is an sole proprietor health care provider with primary practice located at 34 Professional Pkwy , Troy MO 63379-2822. He recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as his primary health care specialty. Roland, Jacob can be contacted via phone (870) 450-4918.Contact Information
Primary practice address
34 Professional Pkwy
Troy MO 63379-2822
Phone: (870) 450-4918
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Nutrition | 111NN1001X | 2019024300 | Missouri |
Profile Details
| NPI number | 1629620893 |
|---|---|
| LBN Legal business name | Roland, Jacob |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2019 |
| Last updated | Jul 9th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629620893 | NPPES |
| Missouri | Other | 2019024300 | PRIVATE INSURANCE |
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