Johnson, Charles William
Johnson, Charles William is an individual health care provider with primary practice located at 1600 23Rd Ave Ste 200 , Greeley CO 80634-6071. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnson, Charles William can be contacted via phone (970) 353-4329.Contact Information
Primary practice address
1600 23Rd Ave Ste 200
Greeley CO 80634-6071
Phone: (970) 353-4329
Fax: (970) 353-0526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 7049 | Colorado |
Profile Details
| NPI number | 1528066404 |
|---|---|
| LBN Legal business name | Johnson, Charles William |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1528066404 | NPPES |
| Colorado | Other | 7049 | DENTAL LICENSE NUMBER |
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