Johnson, Casey William
Johnson, Casey William is an individual health care provider with primary practice located at 2624 Grand Ave Suite 200, Glenwood Springs CO 81601-4176. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Johnson, Casey William can be contacted via phone (970) 928-9500.Contact Information
Primary practice address
2624 Grand Ave Suite 200
Glenwood Springs CO 81601-4176
Phone: (970) 928-9500
Fax: (970) 928-7467
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 7653 | Colorado |
Profile Details
NPI number | 1164420121 |
---|---|
LBN Legal business name | Johnson, Casey William |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 13th, 2005 |
Last updated | Jul 8th, 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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