Paul, Jenieve

Paul, Jenieve is an individual health care provider with primary practice located at 70 Westgate Dr , Brockton MA 02301-1811. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Paul, Jenieve can be contacted via phone (508) 588-8090.

Contact Information

Primary practice address
70 Westgate Dr Brockton MA 02301-1811
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 16812 Florida

Profile Details

NPI number 1437208584
LBN Legal business name Paul, Jenieve
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Dec 29th, 2010 - about 15 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 1437208584 NPPES
Florida MEDICAID 0758868

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