Hansen, Jody Eric
Hansen, Jody Eric is an individual health care provider with primary practice located at 2710 Meridian St , Bellingham WA 98225-2411. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Hansen, Jody Eric can be contacted via phone (360) 676-1499.Contact Information
Primary practice address
2710 Meridian St
Bellingham WA 98225-2411
Phone: (360) 676-1499
Fax: (360) 738-2281
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Denturist | 122400000X | DN00000002 | Washington |
Profile Details
NPI number | 1265642854 |
---|---|
LBN Legal business name | Hansen, Jody Eric |
Credentials | L.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2007 |
Last updated | Jul 9th, 2007 - about 18 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 | 1265642854 | NPPES |
Washington | Other | DN00000002 | WA DENTURIST LICENSE # |
Washington | MEDICAID | 5020052 | WA DENTURIST LICENSE # |
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