Johnson, M. Andrew
Johnson, M. Andrew is an individual health care provider with primary practice located at 41 E 400 N #338, Logan UT 84321-4020. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Johnson, M. Andrew can be contacted via phone (435) 752-2153.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 14633-9921 | Utah |
Profile Details
| NPI number | 1366698870 |
|---|---|
| LBN Legal business name | Johnson, M. Andrew |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2008 |
| Last updated | Aug 15th, 2008 - about 15 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 | 1366698870 | NPPES |
| Utah | Other | 14633-9921 | STATE LICENSE |
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