Rivera, Jonathan

Rivera, Jonathan is an individual health care provider with primary practice located at 2605 Saint Mihiel St , Fort Irwin CA 92310-1654. He recently has only one registered license in Dental Providers / Dental Laboratory Technician, which is considered as his primary health care specialty. Rivera, Jonathan can be contacted via phone (615) 663-2003.

Contact Information

Primary practice address
2605 Saint Mihiel St Fort Irwin CA 92310-1654
Phone: (615) 663-2003
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Laboratory Technician 126900000X

Profile Details

NPI number 1700398021
LBN Legal business name Rivera, Jonathan
Credentials N5
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2017
Last updated Dec 13th, 2018 - about 7 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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