Johnson, Julius Melvin

Johnson, Julius Melvin is an sole proprietor health care provider with primary practice located at 400 E River St , Anderson SC 29624-2448. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnson, Julius Melvin can be contacted via phone (864) 261-3936.

Contact Information

Primary practice address
400 E River St Anderson SC 29624-2448
Fax: (864) 261-3937
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2334 South Carolina

Profile Details

NPI number 1174736987
LBN Legal business name Johnson, Julius Melvin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2007
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174736987 NPPES
South Carolina MEDICAID 226135

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