Sathissarat, Jessica

Sathissarat, Jessica is an sole proprietor health care provider with primary practice located at 88 Mdg/Sghj 4881 Sugar Maple Dr. Bldg 830, Wright-Patterson Afb OH 45433-5529. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Periodontics. Dental Providers / Periodontics is her primary health care specialty. Sathissarat, Jessica can be contacted via phone (937) 257-0500.

Contact Information

Primary practice address
88 Mdg/Sghj 4881 Sugar Maple Dr. Bldg 830 Wright-Patterson Afb OH 45433-5529
Phone: (937) 257-0500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Periodontics 1223P0300X 019.028641 Illinois

Profile Details

NPI number 1427357904
LBN Legal business name Sathissarat, Jessica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2011
Last updated Jul 6th, 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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