Blackledge, Jon Jarrod

Blackledge, Jon Jarrod is an individual health care provider with primary practice located at 1 W Woodland Ave , Springfield PA 19064-2325. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Blackledge, Jon Jarrod can be contacted via phone (610) 543-5673.

Contact Information

Primary practice address
1 W Woodland Ave Springfield PA 19064-2325
Fax: (610) 543-0299
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS037220 Pennsylvania

Profile Details

NPI number 1194920264
LBN Legal business name Blackledge, Jon Jarrod
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2007
Last updated Jul 8th, 2007 - about 17 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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