Johnsen, Eric Mathias
Johnsen, Eric Mathias is an individual health care provider with primary practice located at 1001 S George St , York PA 17403-3676. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Johnsen, Eric Mathias can be contacted via phone (717) 851-2066.Contact Information
Primary practice address
1001 S George St
York PA 17403-3676
Phone: (717) 851-2066
Fax: (717) 851-3565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DS018565L | Pennsylvania |
Profile Details
| NPI number | 1003961657 |
|---|---|
| LBN Legal business name | Johnsen, Eric Mathias |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003961657 | NPPES |
| Pennsylvania | MEDICAID | 0518577 |
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