Jacobsen, Gina Mira
Jacobsen, Gina Mira is an individual health care provider with primary practice located at 1940 W Galena Blvd Suite 10, Aurora IL 60506-4319. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Jacobsen, Gina Mira can be contacted via phone (630) 892-8933.Contact Information
Primary practice address
1940 W Galena Blvd Suite 10
Aurora IL 60506-4319
Phone: (630) 892-8933
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 019-027370 | Illinois |
Profile Details
| NPI number | 1790982502 |
|---|---|
| LBN Legal business name | Jacobsen, Gina Mira |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2007 |
| Last updated | Jul 22nd, 2008 - about 16 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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