Givan, Ernestina Lisa Marie

Givan, Ernestina Lisa Marie is an sole proprietor health care provider with primary practice located at 9225 Doerr Rd # 1220 , Fort Belvoir VA 22060-2204. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Givan, Ernestina Lisa Marie can be contacted via phone (571) 231-6004.

Contact Information

Primary practice address
9225 Doerr Rd # 1220 Fort Belvoir VA 22060-2204
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH.002024614 Colorado

Profile Details

NPI number 1073273488
LBN Legal business name Givan, Ernestina Lisa Marie
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2021
Last updated Jun 6th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073273488 NPPES
Other NA NA

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