Ellender, Jacob Thomas

Ellender, Jacob Thomas is an sole proprietor health care provider with primary practice located at 102 Ramey Rd , Houma LA 70360-4056. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Ellender, Jacob Thomas can be contacted via phone (985) 851-1234.

Contact Information

Primary practice address
102 Ramey Rd Houma LA 70360-4056
Phone: (985) 851-1234
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 7029 Louisiana

Profile Details

NPI number 1295493658
LBN Legal business name Ellender, Jacob Thomas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2021
Last updated Dec 2nd, 2021 - about 5 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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