Wilson, Jack Anthony
Wilson, Jack Anthony is an sole proprietor health care provider with primary practice located at 2654 Stacey Way , National City CA 91950-7760. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Wilson, Jack Anthony can be contacted via phone (559) 289-8293.Contact Information
Primary practice address
2654 Stacey Way
National City CA 91950-7760
Phone: (559) 289-8293
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | HAP 299 | California |
Profile Details
| NPI number | 1043216807 |
|---|---|
| LBN Legal business name | Wilson, Jack Anthony |
| Credentials | RDHAP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Jul 15th, 2014 - 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 | 1043216807 | NPPES |
| California | Other | 299 | REGISTERED DENTAL HYGIENIST IN ALTERNATIVE PRACTICE |
Popular Providers
-
Horve, Diane Aramaki
15301 Tyler Foote Rd , Nevada City CA 95959-9318 -
Newman, Nancy
550 E Washington Blvd Suite 100, Crescent City CA 95531-8160 -
Huckaby, Ruth V
929 Swan St , Foster City CA 94404-1433 -
Johnson, Joyce
10895 Success Cross Rd , Nevada City CA 95959-3706 -
Stillwaggon, Mylene Barrameda
340 E 8Th St , National City CA 91950-2359 -
Moses, Samantha Lynn
1670 Kansas St , Redwood City CA 94061-2641 -
Bosco, May H
39 Santa Ana Ave , Daly City CA 94015-4253 -
Jimenez, Janice
330 E 8Th St , National City CA 91950-2312