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
Phone: (620) 260-2183
Fax: (620) 260-2188
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760472518 | NPPES |
| Kansas | Other | 110892 | BILLING PROVIDER # |
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