Cessna, Jack Allen

Cessna, Jack Allen is an individual health care provider with primary practice located at 1006 A St , Greeley CO 80631-2021. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Cessna, Jack Allen can be contacted via phone (970) 352-0048.

Contact Information

Primary practice address
1006 A St Greeley CO 80631-2021
Phone: (970) 352-0048
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH.002024533 Colorado

Profile Details

NPI number 1003365404
LBN Legal business name Cessna, Jack Allen
Credentials RDH, BS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2016
Last updated Sep 28th, 2016 - about 9 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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