Illia, Arielle

Illia, Arielle is an sole proprietor health care provider with primary practice located at 150 Ne Kenneth Ford Dr , Roseburg OR 97470-1042. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Illia, Arielle can be contacted via phone (541) 672-9596.

Contact Information

Primary practice address
150 Ne Kenneth Ford Dr Roseburg OR 97470-1042
Phone: (541) 672-9596
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H6899 Oregon

Profile Details

NPI number 1821496001
LBN Legal business name Illia, Arielle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2014
Last updated Mar 17th, 2018 - about 7 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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