Watka, Jason T

Watka, Jason T is an individual health care provider with primary practice located at 6226 14Th Ave , Kenosha WI 53143-4413. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Watka, Jason T can be contacted via phone (262) 925-1675.

Contact Information

Primary practice address
6226 14Th Ave Kenosha WI 53143-4413
Phone: (262) 925-1675
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 6921-016 Wisconsin

Profile Details

NPI number 1669617833
LBN Legal business name Watka, Jason T
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2008
Last updated Dec 2nd, 2008 - about 18 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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