Acheatel, Jack Ross

Acheatel, Jack Ross is an sole proprietor health care provider with primary practice located at 18856 Roscoe Blvd , Northridge CA 91324. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Acheatel, Jack Ross can be contacted via phone (818) 885-7116.

Contact Information

Primary practice address
18856 Roscoe Blvd Northridge CA 91324
Phone: (818) 885-7116
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 20143 California

Profile Details

NPI number 1194027698
LBN Legal business name Acheatel, Jack Ross
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2010
Last updated Dec 3rd, 2010 - about 15 years ago

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.

Request for update

Popular Providers