Smith, Jennifer Lee
Smith, Jennifer Lee is an sole proprietor health care provider with primary practice located at 3626 Factoria Blvd Se , Bellevue WA 98006-6128. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Smith, Jennifer Lee can be contacted via phone (425) 747-4695.Contact Information
Primary practice address
3626 Factoria Blvd Se
Bellevue WA 98006-6128
Phone: (425) 747-4695
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | D160128721 | Washington |
Profile Details
| NPI number | 1659736056 |
|---|---|
| LBN Legal business name | Smith, Jennifer Lee |
| Credentials | D160128721 |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2015 |
| Last updated | Dec 30th, 2015 - about 10 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 | 1659736056 | NPPES |
| Washington | Other | D160128721 | RDA |
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