Johnsen, Eric Martin
Johnsen, Eric Martin is an individual health care provider with primary practice located at 880 E Main Rd , Portsmouth RI 02871-2340. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnsen, Eric Martin can be contacted via phone (401) 683-5855.Contact Information
Primary practice address
880 E Main Rd
Portsmouth RI 02871-2340
Phone: (401) 683-5855
Fax: (401) 683-5855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DEN 1945 | Rhode Island |
Profile Details
| NPI number | 1598883092 |
|---|---|
| LBN Legal business name | Johnsen, Eric Martin |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1598883092 | NPPES |
| Rhode Island | MEDICAID | EJ01259 |
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