Janzen, Jackie
Janzen, Jackie is an individual health care provider with primary practice located at 1569 Janmar Rd Ste A , Snellville GA 30078-5780. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Janzen, Jackie can be contacted via phone (770) 979-7923.Contact Information
Primary practice address
1569 Janmar Rd Ste A
Snellville GA 30078-5780
Phone: (770) 979-7923
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Dentist | 122300000X | DN016095 | Georgia |
Profile Details
| NPI number | 1295368918 |
|---|---|
| LBN Legal business name | Janzen, Jackie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2020 |
| Last updated | Jun 20th, 2024 - about last year |
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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