Melberg, Jonathan

Melberg, Jonathan is an sole proprietor health care provider with primary practice located at 11065 Pacific Crest Pl Nw Ste B105 , Silverdale WA 98383-6607. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Melberg, Jonathan can be contacted via phone (360) 261-6154.

Contact Information

Primary practice address
11065 Pacific Crest Pl Nw Ste B105 Silverdale WA 98383-6607
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 12012430A Indiana
Dental Providers / General Practice 1223G0001X DE60813142 Washington

Profile Details

NPI number 1447624473
LBN Legal business name Melberg, Jonathan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2015
Last updated Mar 29th, 2019 - about 5 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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