Johnson, Jeremy Leonard
Johnson, Jeremy Leonard is an individual health care provider with primary practice located at 14650 N Kelsey St # 104-105 , Monroe WA 98272-1456. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Johnson, Jeremy Leonard can be contacted via phone (360) 794-8580.Contact Information
Primary practice address
14650 N Kelsey St # 104-105
Monroe WA 98272-1456
Phone: (360) 794-8580
Fax: (844) 470-1798
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DE00009214 | Washington |
Profile Details
| NPI number | 1376651364 |
|---|---|
| LBN Legal business name | Johnson, Jeremy Leonard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Jul 21st, 2022 - 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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