Johnson, Charles Keith
Johnson, Charles Keith is an sole proprietor health care provider with primary practice located at 1405 Westover Hills Blvd #1, Richmond VA 23225. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Johnson, Charles Keith can be contacted via phone (804) 232-1533.Contact Information
Primary practice address
1405 Westover Hills Blvd #1
Richmond VA 23225
Phone: (804) 232-1533
Fax: (804) 232-1560
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 5082 | Virginia |
Profile Details
NPI number | 1013950492 |
---|---|
LBN Legal business name | Johnson, Charles Keith |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 14th, 2006 |
Last updated | Jul 24th, 2012 - about 12 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 | 1013950492 | NPPES |
Virginia | Other | 103763 | ANTHEM |
Virginia | MEDICAID | 541035205 | ANTHEM |
Virginia | Other | 805392 | ANTHEM |
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