Ross, Tessa Annalise
Ross, Tessa Annalise is an sole proprietor health care provider with primary practice located at 1431 Gravink Ct , Woodland CA 95776-6730. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Ross, Tessa Annalise can be contacted via phone (530) 848-2359.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dental Hygienist | 124Q00000X | 963 | California |
Profile Details
NPI number | 1144929415 |
---|---|
LBN Legal business name | Ross, Tessa Annalise |
Credentials | RDHAP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 27th, 2023 |
Last updated | Feb 27th, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144929415 | NPPES |
California | MEDICAID | 963 |
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