Johnson, Edward L.
Johnson, Edward L. is an sole proprietor health care provider with primary practice located at 928 State Route 716 , Ashland KY 41102-9231. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnson, Edward L. can be contacted via phone (606) 928-3866.Contact Information
Primary practice address
928 State Route 716
Ashland KY 41102-9231
Phone: (606) 928-3866
Fax: (606) 928-3848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5483 | Kentucky |
Profile Details
| NPI number | 1487750964 |
|---|---|
| LBN Legal business name | Johnson, Edward L. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1487750964 | NPPES |
| Kentucky | Other | 531257 | UNITED CONCORDIA |
| Kentucky | MEDICAID | 60054830 | UNITED CONCORDIA |
| Kentucky | Other | Y461 | UNITED CONCORDIA |
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