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
Phone: (508) 771-7751
Fax: (508) 827-4696
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770618506 | NPPES |
| Massachusetts | MEDICAID | 9903933 |
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