Taylor, Jacob Justin
Taylor, Jacob Justin is an sole proprietor health care provider with primary practice located at 4610 200Th St Sw Ste J , Lynnwood WA 98036-6606. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Taylor, Jacob Justin can be contacted via phone (425) 210-1093.Contact Information
Primary practice address
4610 200Th St Sw Ste J
Lynnwood WA 98036-6606
Phone: (425) 210-1093
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LH60149973 | Washington |
Profile Details
| NPI number | 1184669129 |
|---|---|
| LBN Legal business name | Taylor, Jacob Justin |
| Credentials | MA, CP. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Feb 22nd, 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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