Knutson, Eric Jon
Knutson, Eric Jon is an sole proprietor health care provider with primary practice located at 9712 Fair Oaks Blvd #D, Fair Oaks CA 95628-7032. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Knutson, Eric Jon can be contacted via phone (916) 966-0835.Contact Information
Primary practice address
9712 Fair Oaks Blvd #D
Fair Oaks CA 95628-7032
Phone: (916) 966-0835
Fax: (916) 966-3921
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 32477 | California |
Profile Details
NPI number | 1962513408 |
---|---|
LBN Legal business name | Knutson, Eric Jon |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 31st, 2006 |
Last updated | Apr 4th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962513408 | NPPES |
California | Other | 680091765 | FEDERAL TAX ID |
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