Brisbois, Jessica John
Brisbois, Jessica John is an individual health care provider with primary practice located at 20136 Mack Ave , Grosse Pointe Woods MI 48236-1820. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Brisbois, Jessica John can be contacted via phone (313) 886-9355.Contact Information
Primary practice address
20136 Mack Ave
Grosse Pointe Woods MI 48236-1820
Phone: (313) 886-9355
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Dental Providers / Dentist | 122300000X | 2901021562 | Michigan |
Profile Details
NPI number | 1659768232 |
---|---|
LBN Legal business name | Brisbois, Jessica John |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 21st, 2015 |
Last updated | Oct 1st, 2021 - about 3 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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