Kualapai, Jacob
Kualapai, Jacob is an sole proprietor health care provider with primary practice located at 1776 Montano Rd Nw , Los Ranchos NM 87107-3245. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Kualapai, Jacob can be contacted via phone (505) 615-0951.Contact Information
Primary practice address
1776 Montano Rd Nw
Los Ranchos NM 87107-3245
Phone: (505) 615-0951
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH2912 | New Mexico |
Profile Details
| NPI number | 1467007427 |
|---|---|
| LBN Legal business name | Kualapai, Jacob |
| Credentials | RDH, CDHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2019 |
| Last updated | Aug 7th, 2019 - about 6 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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