Jansen, Erik Eyvind

Jansen, Erik Eyvind is an individual health care provider with primary practice located at 1720 Gunbarrel Rd Suite 308, Chattanooga TN 37421-3192. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Jansen, Erik Eyvind can be contacted via phone (423) 892-3131.

Contact Information

Primary practice address
1720 Gunbarrel Rd Suite 308 Chattanooga TN 37421-3192
Phone: (423) 892-3131
Fax: (423) 892-3902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X DS7328 Tennessee

Profile Details

NPI number 1669489399
LBN Legal business name Jansen, Erik Eyvind
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669489399 NPPES
Tennessee Other 342767 UNITED CONCORDIA
Tennessee Other 4043783 UNITED CONCORDIA

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