Hissom, James A.

Hissom, James A. is an sole proprietor health care provider with primary practice located at 2330 W 38Th St , Erie PA 16506-4564. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hissom, James A. can be contacted via phone (814) 835-8300.

Contact Information

Primary practice address
2330 W 38Th St Erie PA 16506-4564
Phone: (814) 835-8300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS024068-L Pennsylvania

Profile Details

NPI number 1306993381
LBN Legal business name Hissom, James A.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Jul 8th, 2007 - about 17 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 1306993381 NPPES
Pennsylvania Other 449685 PROVIDER # FOR UNITED CON

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