Enzler, Jay L
Enzler, Jay L is an individual health care provider with primary practice located at 9302 N Colton St Suite 100, Spokane WA 99218. He recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Enzler, Jay L can be contacted via phone (509) 863-9460.Contact Information
Primary practice address
9302 N Colton St Suite 100
Spokane WA 99218
Phone: (509) 863-9460
Fax: (509) 868-0428
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 8154 | Washington |
| Dental Providers / Dentist | 122300000X | 8154 | Washington |
Profile Details
| NPI number | 1710057021 |
|---|---|
| LBN Legal business name | Enzler, Jay L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Mar 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710057021 | NPPES |
| Washington | Other | 8154 | STATE PROVIDER # |
| Washington | MEDICAID | 5055645 | STATE PROVIDER # |
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