Stewart, Constance Suzanne

Stewart, Constance Suzanne is an individual health care provider with primary practice located at 2960 Tongass Ave Suite 403, Ketchikan AK 99901-5742. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Stewart, Constance Suzanne can be contacted via phone (907) 228-4902.

Contact Information

Primary practice address
2960 Tongass Ave Suite 403 Ketchikan AK 99901-5742
Phone: (907) 228-4902
Fax: (907) 228-5256
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 493 Alaska

Profile Details

NPI number 1114059722
LBN Legal business name Stewart, Constance Suzanne
Credentials HYGIENIST
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114059722 NPPES
Alaska Other 493 DENTAL HYGIENE LICENSE
Alaska Other 174 DENTAL HYGIENE LICENSE

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