Steele, Jack David

Steele, Jack David is an individual health care provider with primary practice located at 501 E Poplar St , Mc Connellsburg PA 17233-1151. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Steele, Jack David can be contacted via phone (717) 485-3015.

Contact Information

Primary practice address
501 E Poplar St Mc Connellsburg PA 17233-1151
Phone: (717) 485-3015
Fax: (717) 485-3096
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS035144 Pennsylvania

Profile Details

NPI number 1811905771
LBN Legal business name Steele, Jack David
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Sep 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811905771 NPPES
Pennsylvania MEDICAID 0018617750006

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