Ibarrola, Jose L
Ibarrola, Jose L is an sole proprietor health care provider with primary practice located at 8909 Grant St , Omaha NE 68134-6161. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Ibarrola, Jose L can be contacted via phone (402) 572-1120.Contact Information
Primary practice address
8909 Grant St
Omaha NE 68134-6161
Phone: (402) 572-1120
Fax: (402) 572-9059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 5780 | Nebraska |
Profile Details
| NPI number | 1639242332 |
|---|---|
| LBN Legal business name | Ibarrola, Jose L |
| Credentials | D.D.S., M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 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 | 1639242332 | NPPES |
| Nebraska | Other | 617646 | UNITED CONCORDIA ID |
| Nebraska | Other | 5780 | UNITED CONCORDIA ID |
| Nebraska | Other | 04832 | UNITED CONCORDIA ID |
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