Bernotski, Jessica Ann

Bernotski, Jessica Ann is an individual health care provider with primary practice located at 500 W Fort St , Boise ID 83702-4501. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Bernotski, Jessica Ann can be contacted via phone (208) 422-1000.

Contact Information

Primary practice address
500 W Fort St Boise ID 83702-4501
Phone: (208) 422-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 5368500-9920 Utah
Dental Providers / Dental Hygienist 124Q00000X 0402205335 Virginia

Profile Details

NPI number 1003295999
LBN Legal business name Bernotski, Jessica Ann
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2015
Last updated May 25th, 2015 - about 10 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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