Ehlen, Jack Edward
Ehlen, Jack Edward is an individual health care provider with primary practice located at 11208 B 94Th Ave E , Puyallup WA 98373-3663. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ehlen, Jack Edward can be contacted via phone (253) 848-4597.Contact Information
Primary practice address
11208 B 94Th Ave E
Puyallup WA 98373-3663
Phone: (253) 848-4597
Fax: (253) 841-7677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 6157 | Washington |
Profile Details
| NPI number | 1356474191 |
|---|---|
| LBN Legal business name | Ehlen, Jack Edward |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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