Shah, Jolly
Shah, Jolly is an individual health care provider with primary practice located at 1761 E Capitol Expy , San Jose CA 95121-1561. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Shah, Jolly can be contacted via phone (408) 223-2500.Contact Information
Primary practice address
1761 E Capitol Expy
San Jose CA 95121-1561
Phone: (408) 223-2500
Fax: (408) 223-5525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 44775 | California |
Profile Details
| NPI number | 1063412054 |
|---|---|
| LBN Legal business name | Shah, Jolly |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2005 |
| Last updated | Oct 12th, 2022 - 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 | 1063412054 | NPPES |
| California | MEDICAID | G92525-01 | |
| California | Other | B44775-01 | |
| California | Other | B44775-01 |
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