Wilson, Jacob

Wilson, Jacob is an individual health care provider with primary practice located at 2000 S Main St , Fairfield IA 52556-9572. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wilson, Jacob can be contacted via phone (641) 472-4111.

Contact Information

Primary practice address
2000 S Main St Fairfield IA 52556-9572
Phone: (641) 472-4111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT60960737 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 090148 Iowa

Profile Details

NPI number 1255849626
LBN Legal business name Wilson, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2018
Last updated Jul 3rd, 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.

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