Johnson, Brendan G.
Johnson, Brendan G. is an individual health care provider with primary practice located at 6950 Smoke Ranch Rd. Suite 200, Las Vegas NV 89128. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Johnson, Brendan G. can be contacted via phone (702) 360-8918.Contact Information
Primary practice address
6950 Smoke Ranch Rd. Suite 200
Las Vegas NV 89128
Phone: (702) 360-8918
Fax: (702) 360-2504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 3335-S229 | Nevada |
Profile Details
| NPI number | 1811923980 |
|---|---|
| LBN Legal business name | Johnson, Brendan G. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Feb 11th, 2008 - 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 | 1811923980 | NPPES |
| Nevada | MEDICAID | 002202009 |
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