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
Fax: (916) 966-3921
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962513408 NPPES
California Other 680091765 FEDERAL TAX ID

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