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Contact Information

JACOB A WEIRICH, PA-C
2635 N 7TH ST
GRAND JUNCTION, CO81501
 Phone: 970-298-2551
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JACOB A WEIRICH · (Male)

NPI Number 1174925309
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/18/2014
Last updated 05/10/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 5823
  • CO License # PA.0004273
  • CO Medicaid 22506080
  • CO Other 553172YYS0 MEDICARE B FOR MOUNTAIN PEAKS URGENT CARE
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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