Hom, James David
Hom, James David is an individual health care provider with primary practice located at 2925 Post Rd , Stevens Point WI 54481-6455. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Hom, James David can be contacted via phone (715) 341-1212.Contact Information
Primary practice address
2925 Post Rd
Stevens Point WI 54481-6455
Phone: (715) 341-1212
Fax: (715) 341-5943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2159G | Wisconsin |
Profile Details
| NPI number | 1396848602 |
|---|---|
| LBN Legal business name | Hom, James David |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396848602 | NPPES |
| Wisconsin | MEDICAID | 33391400 |
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