Pack, Jacob Matthew
Pack, Jacob Matthew is an sole proprietor health care provider with primary practice located at 5843 Sw 85Th St , Gainesville FL 32608-8526. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Pack, Jacob Matthew can be contacted via phone (619) 787-2148.Contact Information
Primary practice address
5843 Sw 85Th St
Gainesville FL 32608-8526
Phone: (619) 787-2148
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 1227 | Florida |
Profile Details
| NPI number | 1699116004 |
|---|---|
| LBN Legal business name | Pack, Jacob Matthew |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2013 |
| Last updated | Jul 13th, 2013 - about 13 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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