Bushnell, Jacob Kenneth
Bushnell, Jacob Kenneth is an sole proprietor health care provider with primary practice located at 1414 Marine Dr , Astoria OR 97103-3808. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bushnell, Jacob Kenneth can be contacted via phone (503) 325-0310.Contact Information
Primary practice address
1414 Marine Dr
Astoria OR 97103-3808
Phone: (503) 325-0310
Fax: (503) 325-1513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D10727 | Oregon |
Profile Details
| NPI number | 1811401441 |
|---|---|
| LBN Legal business name | Bushnell, Jacob Kenneth |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2017 |
| Last updated | Nov 17th, 2017 - about 7 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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