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
Phone: (610) 543-5673
Fax: (610) 543-0299
Website:
Health care specialties
Specialty | Code | License # | 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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