Johnson, Earl Dean
Johnson, Earl Dean is an sole proprietor health care provider with primary practice located at 7206 Stone Crossing Dr , Fredericksburg VA 22407-7359. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Johnson, Earl Dean can be contacted via phone (540) 841-3346.Contact Information
Primary practice address
7206 Stone Crossing Dr
Fredericksburg VA 22407-7359
Phone: (540) 841-3346
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Home Modifications | 171WH0202X | 2705113047 | Virginia |
Profile Details
| NPI number | 1417454547 |
|---|---|
| LBN Legal business name | Johnson, Earl Dean |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2018 |
| Last updated | Apr 5th, 2018 - about 7 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 | 1417454547 | NPPES |
| Virginia | MEDICAID | 2705113047 |
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