Richey, Jonathan Marlon

Richey, Jonathan Marlon is an individual health care provider with primary practice located at 821 W Morton Ave , Porterville CA 93257-3131. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Richey, Jonathan Marlon can be contacted via phone (559) 784-1922.

Contact Information

Primary practice address
821 W Morton Ave Porterville CA 93257-3131
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 33143 California

Profile Details

NPI number 1396897807
LBN Legal business name Richey, Jonathan Marlon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jul 8th, 2007 - about 18 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 1396897807 NPPES
California Other 33143 LISCENSE

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