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Contact Information

JACOB BRAUN, DO
413 LILLY RD NE
OLYMPIA, WA98506-5133
 Phone: 360-493-4554
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JACOB BRAUN · (Male)

NPI Number 1124524624
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/03/2018
Last updated 11/09/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0102205801
  • WA License # OP61181173
Hospital affiliation(s)
  • PROVIDENCE ST PETER HOSPITAL - (Acute Care)
    413 LILLY ROAD NE
    OLYMPIA, WA 98506
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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