Abraham, Jason
Abraham, Jason is an individual health care provider with primary practice located at 281 N Edwards Blvd , Lake Geneva WI 53147-5407. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Abraham, Jason can be contacted via phone (262) 203-8125.Contact Information
Primary practice address
281 N Edwards Blvd
Lake Geneva WI 53147-5407
Phone: (262) 203-8125
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 019032886 | Illinois |
| Dental Providers / Dentist | 122300000X | 600136815 | Wisconsin |
Profile Details
| NPI number | 1730792359 |
|---|---|
| LBN Legal business name | Abraham, Jason |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2020 |
| Last updated | Nov 6th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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