Jd Online Llc

LBN: Jd Online Llc
Jd Online Llc is an health care organization with primary practice located at 23403 E Mission Ave Suite 217, Liberty Lake WA 99019. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Multi-Specialty, Managed Care Organizations / Exclusive Provider Organization. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Jd Online Llc can be contacted via phone (509) 645-2640, or through Evans, Jared Dean via phone (509) 389-9333.

Contact Information

Primary practice address
23403 E Mission Ave Suite 217 Liberty Lake WA 99019
Phone: (509) 645-2640
Fax: (509) 891-4741
Website:
Map and Directions
Authorized official contact:
Name: Evans, Jared Dean Doctor of Dental Medicine (DMD)
Phone: (509) 389-9333

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Managed Care Organizations / Exclusive Provider Organization 302F00000X

Profile Details

NPI number 1588408504
LBN Legal business name Jd Online Llc
DBA Doing business as
Authorized official Evans, Jared Dean Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2024
Last updated Jun 24th, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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