Johnsen, Brock Allen

Johnsen, Brock Allen is an individual health care provider with primary practice located at 4140 W Shelby Rd , Shelby MI 49455-9660. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Johnsen, Brock Allen can be contacted via phone (231) 861-4858.

Contact Information

Primary practice address
4140 W Shelby Rd Shelby MI 49455-9660
Phone: (231) 861-4858
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 15042 Michigan

Profile Details

NPI number 1114068616
LBN Legal business name Johnsen, Brock Allen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Jul 8th, 2007 - about 18 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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