Codjoe, John B

Codjoe, John B is an sole proprietor health care provider with primary practice located at 269 Barnstable Rd , Hyannis MA 02601-2917. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Codjoe, John B can be contacted via phone (508) 771-7751.

Contact Information

Primary practice address
269 Barnstable Rd Hyannis MA 02601-2917
Fax: (508) 827-4696
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN1855757 Massachusetts
Dental Providers / General Practice 1223G0001X 30.022311 Ohio

Profile Details

NPI number 1770618506
LBN Legal business name Codjoe, John B
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2007
Last updated Mar 2nd, 2012 - about 13 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 1770618506 NPPES
Massachusetts MEDICAID 9903933

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