West, Jordan C
West, Jordan C is an individual health care provider with primary practice located at 4801 S 19Th St , Tacoma WA 98405-1166. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. West, Jordan C can be contacted via phone (253) 473-0101.Contact Information
Primary practice address
4801 S 19Th St
Tacoma WA 98405-1166
Phone: (253) 473-0101
Fax: (253) 473-6328
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | DE60304405 | Washington |
Profile Details
| NPI number | 1447418272 |
|---|---|
| LBN Legal business name | West, Jordan C |
| Credentials | DDS, MSD. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2008 |
| Last updated | Jul 21st, 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 | 1447418272 | NPPES |
| Connecticut | MEDICAID | 004011136 |
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