Jaklich, Stephanie

Jaklich, Stephanie is an sole proprietor health care provider with primary practice located at 820 1St Street , Limon CO 80828. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Jaklich, Stephanie can be contacted via phone (719) 775-0300.

Contact Information

Primary practice address
820 1St Street Limon CO 80828
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 2871 Colorado

Profile Details

NPI number 1528486073
LBN Legal business name Jaklich, Stephanie
Credentials D.H.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2014
Last updated Apr 2nd, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528486073 NPPES
Colorado Other 2871 LICENSE

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