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Individual
JACOB LEO HELLER
Active
Individual
JACOB LEO HELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00014050
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039578
LABOR & INDUSTRY
WA
05
—
8129108
—
WA
01
—
930084004
RAILROAD MEDICARE
—
01
—
H399
BLUE SHIELD
WA
01
—
MD4050
ALASKA MEDICAID
WA
01
—
US0861566
AETNA/USHC SPECIALIST
WA
Enumeration date
07/26/2006
Last updated
03/25/2015
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