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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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