Individual
JACOB LEO HELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, MS M4-PA, SEATTLE, WA 98101-2756
(206) 223-6600
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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