Jessen, Brett
Jessen, Brett is an individual health care provider with primary practice located at 10Th Medical Group 4102 Pinion Drive, Usaf Academy CO 80840. He recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Periodontics is his primary health care specialty. Jessen, Brett can be contacted via phone (801) 721-6846.Contact Information
Primary practice address
10Th Medical Group 4102 Pinion Drive
Usaf Academy CO 80840
Phone: (801) 721-6846
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Periodontics | 1223P0300X | DEN.00205787 | Colorado |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | DEN.00205787 | Colorado |
Profile Details
NPI number | 1104285543 |
---|---|
LBN Legal business name | Jessen, Brett |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 13th, 2016 |
Last updated | Oct 17th, 2023 - about last year |
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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