Thomas, Jacob Dylan

Thomas, Jacob Dylan is an individual health care provider with primary practice located at 17040 W Greenfield Ave Ste 6 , Brookfield WI 53005-6844. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Thomas, Jacob Dylan can be contacted via phone (262) 439-8019.

Contact Information

Primary practice address
17040 W Greenfield Ave Ste 6 Brookfield WI 53005-6844
Phone: (262) 439-8019
Fax: (262) 289-9310
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 11249 Wisconsin

Profile Details

NPI number 1841884400
LBN Legal business name Thomas, Jacob Dylan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2021
Last updated Feb 24th, 2021 - about 3 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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