Shue, Jonathan Isaac
Shue, Jonathan Isaac is an individual health care provider with primary practice located at 338 S Dakota Ave Bldg 13850 , Vandenberg Afb CA 93437. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is his primary health care specialty. Shue, Jonathan Isaac can be contacted via phone (805) 606-2273.Contact Information
Primary practice address
338 S Dakota Ave Bldg 13850
Vandenberg Afb CA 93437
Phone: (805) 606-2273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS041308 | Pennsylvania |
| Dental Providers / Dentist | 122300000X | DS041308 | Pennsylvania |
Profile Details
| NPI number | 1366970451 |
|---|---|
| LBN Legal business name | Shue, Jonathan Isaac |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2017 |
| Last updated | Aug 23rd, 2018 - about 8 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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