Johnson, Jerry Alan
Johnson, Jerry Alan is an individual health care provider with primary practice located at 2295 E Washington Blvd , Pasadena CA 91104-1944. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnson, Jerry Alan can be contacted via phone (626) 798-7896.Contact Information
Primary practice address
2295 E Washington Blvd
Pasadena CA 91104-1944
Phone: (626) 798-7896
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 33106 | California |
Profile Details
| NPI number | 1871584565 |
|---|---|
| LBN Legal business name | Johnson, Jerry Alan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| 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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