Crandall, Jodi L
Crandall, Jodi L is an individual health care provider with primary practice located at 1001 S Knik Goose Bay Rd , Wasilla AK 99654-8083. She recently has only one registered license in Dental Providers / Dental Therapist, which is considered as her primary health care specialty. Crandall, Jodi L can be contacted via phone (190) 729-7690.Contact Information
Primary practice address
1001 S Knik Goose Bay Rd
Wasilla AK 99654-8083
Phone: (190) 729-7690
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Therapist | 125J00000X | 23-173-DHAT | Alaska |
Profile Details
| NPI number | 1679270748 |
|---|---|
| LBN Legal business name | Crandall, Jodi L |
| Credentials | DHAT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2023 |
| Last updated | Feb 9th, 2023 - about last year |
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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