Gillette-Backstrom, Janica Joli
Gillette-Backstrom, Janica Joli is an individual health care provider with primary practice located at 6940 Mesa Ridge Parkway , Fountain CO 80817. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Gillette-Backstrom, Janica Joli can be contacted via phone (719) 382-4936.Contact Information
Primary practice address
6940 Mesa Ridge Parkway
Fountain CO 80817
Phone: (719) 382-4936
Fax: (719) 382-4938
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D-4494 | Idaho |
| Dental Providers / General Practice | 1223G0001X | DEN.00202704 | Colorado |
Profile Details
| NPI number | 1801234489 |
|---|---|
| LBN Legal business name | Gillette-Backstrom, Janica Joli |
| Credentials | R.D.H., D.D.S |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2013 |
| Last updated | Aug 6th, 2019 - about 5 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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