Fisk, Jonathan
Fisk, Jonathan is an sole proprietor health care provider with primary practice located at 881 Whalley Ave , New Haven CT 06515-1728. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Fisk, Jonathan can be contacted via phone (203) 374-1911.Contact Information
Primary practice address
881 Whalley Ave
New Haven CT 06515-1728
Phone: (203) 374-1911
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 10965 | Connecticut |
Profile Details
| NPI number | 1811337975 |
|---|---|
| LBN Legal business name | Fisk, Jonathan |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2013 |
| Last updated | Jul 3rd, 2013 - about 12 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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