Johnson, Jeffrey James
Johnson, Jeffrey James is an sole proprietor health care provider with primary practice located at 4903 E State St , Rockford IL 61108-2276. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Johnson, Jeffrey James can be contacted via phone (815) 398-2323.Contact Information
Primary practice address
4903 E State St
Rockford IL 61108-2276
Phone: (815) 398-2323
Fax: (815) 398-2328
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 019 | Illinois |
Profile Details
| NPI number | 1598981052 |
|---|---|
| LBN Legal business name | Johnson, Jeffrey James |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2007 |
| 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.
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