Johnson, Jared C
Johnson, Jared C is an sole proprietor health care provider with primary practice located at 1706 Overland Ave , Burley ID 83318-2436. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnson, Jared C can be contacted via phone (208) 678-2332.Contact Information
Primary practice address
1706 Overland Ave
Burley ID 83318-2436
Phone: (208) 678-2332
Fax: (208) 677-8922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D-2079 | Idaho |
Profile Details
| NPI number | 1710011754 |
|---|---|
| LBN Legal business name | Johnson, Jared C |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 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.
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