Individual
JACOB CHARLES DEAKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
551 E HAWTHORNE RD, SPOKANE, WA 99218-1417
(509) 489-2369
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1038
WY
207Q00000X
Family Medicine Physician
Primary
MD60078644
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8547978
—
WA
Enumeration date
08/22/2008
Last updated
05/10/2021
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