Kneisley, Jack R
Kneisley, Jack R is an individual health care provider with primary practice located at 221 E Home Rd , Springfield OH 45503. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kneisley, Jack R can be contacted via phone (937) 399-4470.Contact Information
Primary practice address
221 E Home Rd
Springfield OH 45503
Phone: (937) 399-4470
Fax: (937) 399-3338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 14578 | Ohio |
| Dental Providers / General Practice | 1223G0001X | 1282 | New Hampshire |
| Dental Providers / General Practice | 1223G0001X | 12426 | Massachusetts |
Profile Details
| NPI number | 1295749711 |
|---|---|
| LBN Legal business name | Kneisley, Jack R |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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