Jivagunchainan, Hatai

Jivagunchainan, Hatai is an individual health care provider with primary practice located at 940 Astor St Ste C , Astoria OR 97103-4213. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Jivagunchainan, Hatai can be contacted via phone (971) 206-6688.

Contact Information

Primary practice address
940 Astor St Ste C Astoria OR 97103-4213
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D11301 Oregon

Profile Details

NPI number 1154934065
LBN Legal business name Jivagunchainan, Hatai
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2020
Last updated Feb 3rd, 2021 - about 3 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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