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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 8 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 1952744005 NPPES
New Jersey MEDICAID 0538558

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