Kwan, Jason
Kwan, Jason is an sole proprietor health care provider with primary practice located at 1024 Park Ave Suite #1, Plainfield NJ 07060-3026. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Kwan, Jason can be contacted via phone (908) 668-5888.Contact Information
Primary practice address
1024 Park Ave Suite #1
Plainfield NJ 07060-3026
Phone: (908) 668-5888
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Dental Providers / Dentist | 122300000X | 22DI02563200 | New Jersey |
Profile Details
NPI number | 1952744005 |
---|---|
LBN Legal business name | Kwan, Jason |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 8th, 2013 |
Last updated | Dec 16th, 2016 - about 9 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 | 1952744005 | NPPES |
New Jersey | MEDICAID | 0538558 |
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