Erickson, Jill Renee
Erickson, Jill Renee is an individual health care provider with primary practice located at 29 Black Coal Drive , Fort Washakie WY 82514. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Erickson, Jill Renee can be contacted via phone (307) 332-7300.Contact Information
Primary practice address
29 Black Coal Drive
Fort Washakie WY 82514
Phone: (307) 332-7300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | H05665 | Arizona |
Profile Details
| NPI number | 1215233168 |
|---|---|
| LBN Legal business name | Erickson, Jill Renee |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2011 |
| Last updated | Feb 9th, 2011 - 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.
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