Johnson, James Keith
Johnson, James Keith is an sole proprietor health care provider with primary practice located at 6204 Duncan Rd , Petersburg VA 23803-7442. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnson, James Keith can be contacted via phone (804) 861-6464.Contact Information
Primary practice address
6204 Duncan Rd
Petersburg VA 23803-7442
Phone: (804) 861-6464
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 05461 | Virginia |
Profile Details
NPI number | 1770607616 |
---|---|
LBN Legal business name | Johnson, James Keith |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 17th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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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