Javier, Jose Luis
Javier, Jose Luis is an individual health care provider with primary practice located at 2084 Ne Professional Ct , Bend OR 97701. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Javier, Jose Luis can be contacted via phone (541) 383-3005.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | D9037 | Oregon |
Profile Details
NPI number | 1356448351 |
---|---|
LBN Legal business name | Javier, Jose Luis |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2006 |
Last updated | Jul 6th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356448351 | NPPES |
Wisconsin | MEDICAID | 33735200 |
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