Jespersen, James Alan
Jespersen, James Alan is an individual health care provider with primary practice located at 1220 21St Ave , Rock Valley IA 51247-1420. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Jespersen, James Alan can be contacted via phone (712) 476-2749.Contact Information
Primary practice address
1220 21St Ave
Rock Valley IA 51247-1420
Phone: (712) 476-2749
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 05966 | Iowa |
Profile Details
| NPI number | 1073595955 |
|---|---|
| LBN Legal business name | Jespersen, James Alan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073595955 | NPPES |
| Iowa | MEDICAID | 0028837 |
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