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:
Authorized official contact:
Name: Evans, Jared Dean Doctor of Dental Medicine (DMD)
Phone: (509) 389-9333
Health care specialties
| Specialty | Code | License # | 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 2 years 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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