Juhl, Jake M.

Juhl, Jake M. is an individual health care provider with primary practice located at 2045 E Labrador Blvd , Garden City KS 67846-3996. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Juhl, Jake M. can be contacted via phone (620) 260-2183.

Contact Information

Primary practice address
2045 E Labrador Blvd Garden City KS 67846-3996
Fax: (620) 260-2188
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7129 Kansas

Profile Details

NPI number 1760472518
LBN Legal business name Juhl, Jake M.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Oct 30th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760472518 NPPES
Kansas Other 110892 BILLING PROVIDER #

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