Nonnenmann, Jamie Dominic

Nonnenmann, Jamie Dominic is an sole proprietor health care provider with primary practice located at 3823 - 15Th St. D , Moline IL 61265. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Nonnenmann, Jamie Dominic can be contacted via phone (309) 797-2959.

Contact Information

Primary practice address
3823 - 15Th St. D Moline IL 61265
Phone: (309) 797-2959
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019-017141 Illinois
Dental Providers / Dentist 122300000X 319-006779 Illinois
Dental Providers / Dentist 122300000X 019.017141 Illinois
Dental Providers / Dentist 122300000X 319.006779 Illinois

Profile Details

NPI number 1023246451
LBN Legal business name Nonnenmann, Jamie Dominic
Credentials M.S., D.D.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2009
Last updated May 3rd, 2016 - about 10 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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