Foutz, Jacob

Foutz, Jacob is an individual health care provider with primary practice located at 806 E Jackson St , Medford OR 97504-6773. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Foutz, Jacob can be contacted via phone (541) 734-5225.

Contact Information

Primary practice address
806 E Jackson St Medford OR 97504-6773
Phone: (541) 734-5225
Fax: (541) 734-5225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D10292 Oregon

Profile Details

NPI number 1912381856
LBN Legal business name Foutz, Jacob
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2015
Last updated Mar 17th, 2018 - about 8 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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