Jethwani, Monica
Jethwani, Monica is an individual health care provider with primary practice located at 601 S Carr Rd Ste 350 , Renton WA 98055-5854. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Endodontics. Dental Providers / Endodontics is her primary health care specialty. Jethwani, Monica can be contacted via phone (425) 227-3368.Contact Information
Primary practice address
601 S Carr Rd Ste 350
Renton WA 98055-5854
Phone: (425) 227-3368
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0401413488 | Virginia |
| Dental Providers / Endodontics | 1223E0200X | DE60665049 | Washington |
Profile Details
| NPI number | 1871867069 |
|---|---|
| LBN Legal business name | Jethwani, Monica |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2012 |
| Last updated | Aug 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871867069 | NPPES |
| Virginia | MEDICAID | PENDING |
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