Johnson, Jeremiah O.

Johnson, Jeremiah O. is an individual health care provider with primary practice located at 304 N Chelan Ave , Wenatchee WA 98801-2107. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Johnson, Jeremiah O. can be contacted via phone (509) 663-0068.

Contact Information

Primary practice address
304 N Chelan Ave Wenatchee WA 98801-2107
Phone: (509) 663-0068
Fax: (509) 663-0060
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 60337452 Washington

Profile Details

NPI number 1922119189
LBN Legal business name Johnson, Jeremiah O.
Credentials DDS, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Feb 26th, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922119189 NPPES
Washington MEDICAID 2036913

Popular Providers