Fetner, Michael Jordan
Fetner, Michael Jordan is an sole proprietor health care provider with primary practice located at 7043 Southpoint Pkwy S Ste B , Jacksonville FL 32216-8742. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Fetner, Michael Jordan can be contacted via phone (904) 296-8343.Contact Information
Primary practice address
7043 Southpoint Pkwy S Ste B
Jacksonville FL 32216-8742
Phone: (904) 296-8343
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | DN19049 | Florida |
Profile Details
| NPI number | 1871895680 |
|---|---|
| LBN Legal business name | Fetner, Michael Jordan |
| Credentials | D.M.D., M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2010 |
| Last updated | Jun 23rd, 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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