Johanson, Matthew A
Johanson, Matthew A is an individual health care provider with primary practice located at 11178 Huron St Ste 100, Northglenn CO 80234-4370. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Johanson, Matthew A can be contacted via phone (303) 457-9617.Contact Information
Primary practice address
11178 Huron St Ste 100
Northglenn CO 80234-4370
Phone: (303) 457-9617
Fax: (303) 457-2405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 10169 | Colorado |
Profile Details
| NPI number | 1194963660 |
|---|---|
| LBN Legal business name | Johanson, Matthew A |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 21st, 2009 |
| Last updated | Nov 6th, 2013 - about 11 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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