Eaglin, Jason Simon
Eaglin, Jason Simon is an sole proprietor health care provider with primary practice located at 248 Arrowhead Blvd , Jonesboro GA 30236-1106. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Eaglin, Jason Simon can be contacted via phone (770) 471-2333.Contact Information
Primary practice address
248 Arrowhead Blvd
Jonesboro GA 30236-1106
Phone: (770) 471-2333
Fax: (770) 473-0236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN013169 | Georgia |
Profile Details
| NPI number | 1053329136 |
|---|---|
| LBN Legal business name | Eaglin, Jason Simon |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Dec 10th, 2007 - about 18 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 | 1053329136 | NPPES |
| Georgia | MEDICAID | 779829461A | |
| Georgia | Other | 1755220 |
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