Mecum, Jason Donald

Mecum, Jason Donald is an individual health care provider with primary practice located at 630 Miluk Dr , Coos Bay OR 97420-7728. He recently has only one registered license in Dental Providers / Dental Therapist, which is considered as his primary health care specialty. Mecum, Jason Donald can be contacted via phone (541) 888-9494.

Contact Information

Primary practice address
630 Miluk Dr Coos Bay OR 97420-7728
Phone: (541) 888-9494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Therapist 125J00000X 18-TDT-02 Washington

Profile Details

NPI number 1508531666
LBN Legal business name Mecum, Jason Donald
Credentials DHAT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2021
Last updated Aug 11th, 2021 - about 4 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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