Shin, Jae W
Shin, Jae W is an sole proprietor health care provider with primary practice located at 618Th Dental Co, Carius Dental Clinic Bldg# P3020 Attn: Credential Office, Apo AP 96271-5245. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Shin, Jae W can be contacted via phone (315) 737-9186.Contact Information
Primary practice address
618Th Dental Co, Carius Dental Clinic Bldg# P3020 Attn: Credential Office
Apo AP 96271-5245
Phone: (315) 737-9186
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 9094721-9921 | Utah |
Profile Details
| NPI number | 1578948725 |
|---|---|
| LBN Legal business name | Shin, Jae W |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2015 |
| Last updated | Apr 20th, 2021 - about 5 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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