Johnson, Courtney J
Johnson, Courtney J is an individual health care provider with primary practice located at 1 Childrens Way Slot107, Little Rock AR 72202-3500. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Johnson, Courtney J can be contacted via phone (501) 364-1100.Contact Information
Primary practice address
1 Childrens Way Slot107
Little Rock AR 72202-3500
Phone: (501) 364-1100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3566 | Arkansas |
Profile Details
| NPI number | 1053460790 |
|---|---|
| LBN Legal business name | Johnson, Courtney J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Feb 6th, 2012 - about 14 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 | 1053460790 | NPPES |
| Arkansas | Other | 5A001 | BLUE CROSS BLUE SHIELD |
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