Carlisle, Jacob Daniel

Carlisle, Jacob Daniel is an sole proprietor health care provider with primary practice located at 800 M 139 , Benton Harbor MI 49022-3881. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Carlisle, Jacob Daniel can be contacted via phone (855) 869-6900.

Contact Information

Primary practice address
800 M 139 Benton Harbor MI 49022-3881
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2901600138 Michigan

Profile Details

NPI number 1437718301
LBN Legal business name Carlisle, Jacob Daniel
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2019
Last updated Jun 13th, 2019 - 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.

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