Johnson, Patrick Todd
Johnson, Patrick Todd is an sole proprietor health care provider with primary practice located at 5111 Ehrlich Rd Suite150, Tampa FL 33624-2075. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Johnson, Patrick Todd can be contacted via phone (813) 264-1258.Contact Information
Primary practice address
5111 Ehrlich Rd Suite150
Tampa FL 33624-2075
Phone: (813) 264-1258
Fax: (813) 265-2083
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | DN13415 | Florida |
Profile Details
| NPI number | 1710033774 |
|---|---|
| LBN Legal business name | Johnson, Patrick Todd |
| Credentials | D.M.D., P.A. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710033774 | NPPES |
| Florida | Other | DN13415 | STATE LICENSE NUMBER |
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