Royal, Jacob

Royal, Jacob is an individual health care provider with primary practice located at 5015 Lucena Dr , Pasco WA 99301-8370. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Royal, Jacob can be contacted via phone (509) 380-7378.

Contact Information

Primary practice address
5015 Lucena Dr Pasco WA 99301-8370
Phone: (509) 380-7378
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60570569 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R41002 North Dakota

Profile Details

NPI number 1194127746
LBN Legal business name Royal, Jacob
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2014
Last updated Jul 20th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1194127746 NPPES
Washington MEDICAID AP60570569

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