Johnson, Jacob Lynn

Johnson, Jacob Lynn is an sole proprietor health care provider with primary practice located at Bldg 1200, 149G W Hart St , Sheppard Afb TX 76311-7631. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Other Service Providers / Military Health Care Provider. Other Service Providers / Military Health Care Provider is his primary health care specialty. Johnson, Jacob Lynn can be contacted via phone (940) 676-4412.

Contact Information

Primary practice address
Bldg 1200, 149G W Hart St Sheppard Afb TX 76311-7631
Phone: (940) 676-4412
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2017020610 Missouri
Dental Providers / General Practice 1223G0001X 34858 Texas
Other Service Providers / Military Health Care Provider 171000000X 34858 Texas

Profile Details

NPI number 1982120895
LBN Legal business name Johnson, Jacob Lynn
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2017
Last updated Aug 20th, 2023 - about 2 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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