Lieberman, Jay E.
Lieberman, Jay E. is an sole proprietor health care provider with primary practice located at 559 Woodside Ave , Park City UT 84060-0513. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lieberman, Jay E. can be contacted via phone (435) 649-0420.Contact Information
Primary practice address
559 Woodside Ave
Park City UT 84060-0513
Phone: (435) 649-0420
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5753918-9921 | Utah |
Profile Details
| NPI number | 1245474428 |
|---|---|
| LBN Legal business name | Lieberman, Jay E. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2009 |
| Last updated | May 1st, 2009 - about 17 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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