Dattolo, Jennifer A
Dattolo, Jennifer A is an individual health care provider with primary practice located at 1075 Buckhead Xing Suite 130, Woodstock GA 30189-4262. She recently has only one registered license in Eye and Vision Services Providers / Vision Therapy, which is considered as her primary health care specialty. Dattolo, Jennifer A can be contacted via phone (770) 702-5996.Contact Information
Primary practice address
1075 Buckhead Xing Suite 130
Woodstock GA 30189-4262
Phone: (770) 702-5996
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 001878 | Georgia |
Profile Details
| NPI number | 1962596627 |
|---|---|
| LBN Legal business name | Dattolo, Jennifer A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jun 9th, 2016 - about 8 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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