# MR. JACOB A WOLFF

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1164513305
- **Gender:** Man
- **Credential:** PAC MHS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | TA10005066 | WA | — |
| 363A00000X | Physician Assistant | PA10005066 | WA | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 08/26/2020