Bakker, Jos J

Bakker, Jos J is an individual health care provider with primary practice located at 31 Perry Avenue , Fort Walton Beach FL 32548-5612. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bakker, Jos J can be contacted via phone (850) 244-0202.

Contact Information

Primary practice address
31 Perry Avenue Fort Walton Beach FL 32548-5612
Phone: (850) 244-0202
Fax: (850) 664-5124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8349 Florida

Profile Details

NPI number 1801913926
LBN Legal business name Bakker, Jos J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801913926 NPPES
Other 621151 UNITED CONCORDIA
Other 66091 UNITED CONCORDIA
Other 59006029 UNITED CONCORDIA

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