Doublestein, Jason C

Doublestein, Jason C is an individual health care provider with primary practice located at 4320 44Th St Sw Suite 106, Grandville MI 49418-2300. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Doublestein, Jason C can be contacted via phone (616) 530-2200.

Contact Information

Primary practice address
4320 44Th St Sw Suite 106 Grandville MI 49418-2300
Phone: (616) 530-2200
Fax: (616) 530-8250
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901018806 Michigan

Profile Details

NPI number 1386760072
LBN Legal business name Doublestein, Jason C
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Dec 23rd, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386760072 NPPES
Michigan Other 1669598397 GENERAL DENTISTRY PRACTICE

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