Simonovich, Jacob

Simonovich, Jacob is an individual health care provider with primary practice located at N85W16093 Appleton Ave , Menomonee Falls WI 53051-3088. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Simonovich, Jacob can be contacted via phone (262) 253-9797.

Contact Information

Primary practice address
N85W16093 Appleton Ave Menomonee Falls WI 53051-3088
Phone: (262) 253-9797
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 1001324-15 Wisconsin

Profile Details

NPI number 1639532955
LBN Legal business name Simonovich, Jacob
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2016
Last updated Dec 13th, 2016 - about 8 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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