Soderquist, Scott A.
Soderquist, Scott A. is an individual health care provider with primary practice located at 1118 N Larkin Ave , Joliet IL 60435-3456. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Soderquist, Scott A. can be contacted via phone (815) 725-4070.Contact Information
Primary practice address
1118 N Larkin Ave
Joliet IL 60435-3456
Phone: (815) 725-4070
Fax: (815) 725-4054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 021002112 | Illinois |
Profile Details
| NPI number | 1477883270 |
|---|---|
| LBN Legal business name | Soderquist, Scott A. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2009 |
| Last updated | Dec 30th, 2009 - about 15 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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