Hathaway, Jennifer Ann
Hathaway, Jennifer Ann is an individual health care provider with primary practice located at 1719 Broadmoor Dr , Bryan TX 77802-5210. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Hathaway, Jennifer Ann can be contacted via phone (979) 776-6884.Contact Information
Primary practice address
1719 Broadmoor Dr
Bryan TX 77802-5210
Phone: (979) 776-6884
Fax: (979) 774-3008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 17025 | Texas |
Profile Details
| NPI number | 1477558815 |
|---|---|
| LBN Legal business name | Hathaway, Jennifer Ann |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Mar 12th, 2020 - about 6 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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