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Contact Information

PETER W JACOBSEN DDS PLLC
27016 MAPLE VALLEY BLK DIAMOND RD SE
MAPLE VALLEY, WA98038
 Phone: 425-413-8525
 Fax: 425-413-8599
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for PETER W JACOBSEN DDS PLLC · (Female)

NPI Number 1053480988
Status Active
Credentials
Entity Individual
Enumeration date 11/07/2006
Last updated 08/01/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # DE00005267
Hospital affiliation(s) Not Available
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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