Fomich, Jason A
Fomich, Jason A is an individual health care provider with primary practice located at 701 W Central Ave , Delaware OH 43015-1414. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fomich, Jason A can be contacted via phone (740) 362-6381.Contact Information
Primary practice address
701 W Central Ave
Delaware OH 43015-1414
Phone: (740) 362-6381
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 19903 | Ohio |
Profile Details
| NPI number | 1609887876 |
|---|---|
| LBN Legal business name | Fomich, Jason A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1609887876 | NPPES |
| Ohio | MEDICAID | 2023054 |
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