Glassley, Jason P
Glassley, Jason P is an individual health care provider with primary practice located at 5718 Coventry Ln , Fort Wayne IN 46804-7141. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Glassley, Jason P can be contacted via phone (260) 436-5772.Contact Information
Primary practice address
5718 Coventry Ln
Fort Wayne IN 46804-7141
Phone: (260) 436-5772
Fax: (260) 436-5779
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 12010736A | Indiana |
Profile Details
| NPI number | 1679735898 |
|---|---|
| LBN Legal business name | Glassley, Jason P |
| Credentials | D.D.S., M.S.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2008 |
| Last updated | Jun 29th, 2008 - about 18 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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