Bloxham, Jared V
Bloxham, Jared V is an sole proprietor health care provider with primary practice located at 1363 Columbia Park Trl Ste 101 , Richland WA 99352-4770. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bloxham, Jared V can be contacted via phone (509) 578-5770.Contact Information
Primary practice address
1363 Columbia Park Trl Ste 101
Richland WA 99352-4770
Phone: (509) 578-5770
Fax: (509) 578-5774
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 10135 | Washington |
Profile Details
| NPI number | 1386741239 |
|---|---|
| LBN Legal business name | Bloxham, Jared V |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Mar 16th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386741239 | NPPES |
| Washington | MEDICAID | 5049150 |
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