Johnson, Dewayne Jerrell

Johnson, Dewayne Jerrell is an sole proprietor health care provider with primary practice located at 1640 Emerald Creek Dr , Florissant MO 63031-2046. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Johnson, Dewayne Jerrell can be contacted via phone (314) 283-2067.

Contact Information

Primary practice address
1640 Emerald Creek Dr Florissant MO 63031-2046
Phone: (314) 283-2067
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X Missouri

Profile Details

NPI number 1306526686
LBN Legal business name Johnson, Dewayne Jerrell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2023
Last updated Jul 20th, 2023 - about last year

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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