Reddy, Jessica
Reddy, Jessica is an sole proprietor health care provider with primary practice located at 9486 Wicker Ave , Saint John IN 46373-9400. She recently has only one registered license in Dental Providers / Dental Public Health, which is considered as her primary health care specialty. Reddy, Jessica can be contacted via phone (219) 765-8835.Contact Information
Primary practice address
9486 Wicker Ave
Saint John IN 46373-9400
Phone: (219) 765-8835
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Public Health | 1223D0001X | 26156 | Florida |
| Dental Providers / Dental Public Health | 1223D0001X | 019.033350 | Illinois |
Profile Details
| NPI number | 1295308492 |
|---|---|
| LBN Legal business name | Reddy, Jessica |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2021 |
| Last updated | Jul 23rd, 2021 - about 3 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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