Powell, Jacob A

Powell, Jacob A is an individual health care provider with primary practice located at 4700 Las Vegas Blvd N , Nellis Afb NV 89191. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Powell, Jacob A can be contacted via phone (702) 653-2682.

Contact Information

Primary practice address
4700 Las Vegas Blvd N Nellis Afb NV 89191
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D-4232 Idaho

Profile Details

NPI number 1376771733
LBN Legal business name Powell, Jacob A
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2009
Last updated Jul 31st, 2018 - about 6 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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