Blochwitz, Jordan
Blochwitz, Jordan is an sole proprietor health care provider with primary practice located at 1560 Carlemont Dr , Crystal Lake IL 60014-2740. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Blochwitz, Jordan can be contacted via phone (815) 893-6345.Contact Information
Primary practice address
1560 Carlemont Dr
Crystal Lake IL 60014-2740
Phone: (815) 893-6345
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019.034245 | Illinois |
Profile Details
| NPI number | 1508550823 |
|---|---|
| LBN Legal business name | Blochwitz, Jordan |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2023 |
| Last updated | Jun 8th, 2023 - about 3 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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