Cooper-Leavitt, Jonah Thomas
Cooper-Leavitt, Jonah Thomas is an sole proprietor health care provider with primary practice located at 512 Main St E Suite 100, Monmouth OR 97361-2369. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Cooper-Leavitt, Jonah Thomas can be contacted via phone (503) 837-0512.Contact Information
Primary practice address
512 Main St E Suite 100
Monmouth OR 97361-2369
Phone: (503) 837-0512
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D8326 | Oregon |
Profile Details
| NPI number | 1245412162 |
|---|---|
| LBN Legal business name | Cooper-Leavitt, Jonah Thomas |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 3rd, 2007 |
| Last updated | May 12th, 2010 - about 16 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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