Jacobson, Shanda

Jacobson, Shanda is an individual health care provider with primary practice located at 3111 Wall St , Lexington KY 40513-9008. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Jacobson, Shanda can be contacted via phone (859) 223-1833.

Contact Information

Primary practice address
3111 Wall St Lexington KY 40513-9008
Phone: (859) 223-1833
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 4047 Kentucky

Profile Details

NPI number 1720604630
LBN Legal business name Jacobson, Shanda
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2020
Last updated Jun 17th, 2020 - about 6 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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