Sok, Jon
Sok, Jon is an individual health care provider with primary practice located at 401 S Main St , Deer Park WA 99006-8238. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Sok, Jon can be contacted via phone (509) 444-8200.Contact Information
Primary practice address
401 S Main St
Deer Park WA 99006-8238
Phone: (509) 444-8200
Fax: (509) 434-0392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5808 | Wisconsin |
| Dental Providers / Dentist | 122300000X | DE00010965 | Washington |
Profile Details
| NPI number | 1679561575 |
|---|---|
| LBN Legal business name | Sok, Jon |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Apr 5th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679561575 | NPPES |
| Wisconsin | MEDICAID | 33792300 |
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