Healthcare Provider Details

I. General information

NPI: 1902659766
Provider Name (Legal Business Name): OMH CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2024
Last Update Date: 04/10/2024
Certification Date: 03/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 COURT A
TACOMA WA
98402-5206
US

IV. Provider business mailing address

1218 N I ST
TACOMA WA
98403-2117
US

V. Phone/Fax

Practice location:
  • Phone: 833-442-7767
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: AARON JACOBS
Title or Position: CEO
Credential:
Phone: 205-208-8141