Johnson, Ken
Johnson, Ken is an sole proprietor health care provider with primary practice located at 918 E Park Avenue Plz , Beloit WI 53511-1753. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Johnson, Ken can be contacted via phone (608) 365-9456.Contact Information
Primary practice address
918 E Park Avenue Plz
Beloit WI 53511-1753
Phone: (608) 365-9456
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 4352 | Wisconsin |
Profile Details
| NPI number | 1124198924 |
|---|---|
| LBN Legal business name | Johnson, Ken |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Mar 16th, 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.
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