Johnson, John Neil
Johnson, John Neil is an sole proprietor health care provider with primary practice located at 4608 S Harvard Ave Suite C, Tulsa OK 74135-2913. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Johnson, John Neil can be contacted via phone (918) 743-1351.Contact Information
Primary practice address
4608 S Harvard Ave Suite C
Tulsa OK 74135-2913
Phone: (918) 743-1351
Fax: (918) 743-7329
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 3848 | Oklahoma |
Profile Details
| NPI number | 1871529651 |
|---|---|
| LBN Legal business name | Johnson, John Neil |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Oct 21st, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871529651 | NPPES |
| Oklahoma | MEDICAID | 100155290A |
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