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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

NPI Number 1053480988
LBN Legal business name PETER W JACOBSEN DDS PLLC
Authorized official JULIE CIELO - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/07/2006
Last updated 08/01/2008 - About 18 years ago
Identifiers
WA License # DE00005267
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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