Johnson, Dane G

Johnson, Dane G is an individual health care provider with primary practice located at 2021 Lakeshore Dr , Charleston SC 29412-2017. He recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as his primary health care specialty. Johnson, Dane G can be contacted via phone (703) 851-9556.

Contact Information

Primary practice address
2021 Lakeshore Dr Charleston SC 29412-2017
Phone: (703) 851-9556
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X

Profile Details

NPI number 1174036800
LBN Legal business name Johnson, Dane G
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2017
Last updated Nov 16th, 2017 - about 8 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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