Jayaprakash, Poornima
Jayaprakash, Poornima is an individual health care provider with primary practice located at 6218 Washington Ave Suite C, Racine WI 53406-3916. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Jayaprakash, Poornima can be contacted via phone (262) 886-1300.Contact Information
Primary practice address
6218 Washington Ave Suite C
Racine WI 53406-3916
Phone: (262) 886-1300
Fax: (262) 886-1837
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4048 | Wisconsin |
Profile Details
| NPI number | 1417014572 |
|---|---|
| LBN Legal business name | Jayaprakash, Poornima |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 1st, 2007 |
| 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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