Dewitt, Jason Aaron
Dewitt, Jason Aaron is an individual health care provider with primary practice located at 2204 Scott St , Lafayette IN 47904-2933. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Dewitt, Jason Aaron can be contacted via phone (765) 447-0525.Contact Information
Primary practice address
2204 Scott St
Lafayette IN 47904-2933
Phone: (765) 447-0525
Fax: (765) 447-5815
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 12010545A | Indiana |
Profile Details
| NPI number | 1447371984 |
|---|---|
| LBN Legal business name | Dewitt, Jason Aaron |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Sep 28th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447371984 | NPPES |
| Indiana | Other | 12010545A | DENTAL LICENSE |
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