Hanseen, Jacob Johnson
Hanseen, Jacob Johnson is an sole proprietor health care provider with primary practice located at 175 N Pennsylvania Ave , Glendora CA 91741-3316. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Hanseen, Jacob Johnson can be contacted via phone (626) 963-4173.Contact Information
Primary practice address
175 N Pennsylvania Ave
Glendora CA 91741-3316
Phone: (626) 963-4173
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 103563 | California |
Profile Details
NPI number | 1295292340 |
---|---|
LBN Legal business name | Hanseen, Jacob Johnson |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 25th, 2019 |
Last updated | Feb 25th, 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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