Johnson, Brandon Travis

Johnson, Brandon Travis is an sole proprietor health care provider with primary practice located at 426 E 8Th St , Port Angeles WA 98362-6220. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Johnson, Brandon Travis can be contacted via phone (360) 457-0489.

Contact Information

Primary practice address
426 E 8Th St Port Angeles WA 98362-6220
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DE00010678 Washington

Profile Details

NPI number 1083795280
LBN Legal business name Johnson, Brandon Travis
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 2007 - 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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