Johnson, Benjamin Dean

Johnson, Benjamin Dean is an sole proprietor health care provider with primary practice located at 849 E Rte 66, Po Bpx 1619 , Glendora CA 91740-3603. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Johnson, Benjamin Dean can be contacted via phone (626) 335-4597.

Contact Information

Primary practice address
849 E Rte 66, Po Bpx 1619 Glendora CA 91740-3603
Phone: (626) 335-4597
Fax: (626) 963-9511
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X DC 15470 California
Chiropractic Providers / Orthopedic 111NX0800X 3812 Arizona

Profile Details

NPI number 1215962444
LBN Legal business name Johnson, Benjamin Dean
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Dec 12th, 2007 - about 17 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 1215962444 NPPES
California MEDICAID 7906627

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