Urda, Jacob
Urda, Jacob is an individual health care provider with primary practice located at 130 E Redstone Ave , Crestview FL 32539-5348. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Urda, Jacob can be contacted via phone (850) 398-8725.Contact Information
Primary practice address
130 E Redstone Ave
Crestview FL 32539-5348
Phone: (850) 398-8725
Fax: (850) 398-8727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS14821 | Florida |
Profile Details
| NPI number | 1427445477 |
|---|---|
| LBN Legal business name | Urda, Jacob |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2015 |
| Last updated | Sep 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427445477 | NPPES |
| Florida | MEDICAID | 103696500 |
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