Johnson, Michael Robert
Johnson, Michael Robert is an sole proprietor health care provider with primary practice located at 226 N Central Ave , Duluth MN 55807-2463. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnson, Michael Robert can be contacted via phone (218) 624-0164.Contact Information
Primary practice address
226 N Central Ave
Duluth MN 55807-2463
Phone: (218) 624-0164
Fax: (218) 624-0088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D9252 | Minnesota |
Profile Details
| NPI number | 1316028277 |
|---|---|
| LBN Legal business name | Johnson, Michael Robert |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2006 |
| 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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