Jespersen, James Alan

Jespersen, James Alan is an individual health care provider with primary practice located at 1220 21St Ave , Rock Valley IA 51247-1420. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Jespersen, James Alan can be contacted via phone (712) 476-2749.

Contact Information

Primary practice address
1220 21St Ave Rock Valley IA 51247-1420
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 05966 Iowa

Profile Details

NPI number 1073595955
LBN Legal business name Jespersen, James Alan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jul 9th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073595955 NPPES
Iowa MEDICAID 0028837

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