Ellis, Jonathan Hunter

Ellis, Jonathan Hunter is an individual health care provider with primary practice located at 3314 Oaklawn Blvd , Hopewell VA 23860. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ellis, Jonathan Hunter can be contacted via phone (804) 458-6733.

Contact Information

Primary practice address
3314 Oaklawn Blvd Hopewell VA 23860
Phone: (804) 458-6733
Fax: (804) 541-0416
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401411395 Virginia

Profile Details

NPI number 1740389451
LBN Legal business name Ellis, Jonathan Hunter
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1740389451 NPPES
Virginia MEDICAID 9182623

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