Johnson, Larry Dean
Johnson, Larry Dean is an sole proprietor health care provider with primary practice located at 2721 Del Prado Blvd S Ste 250 , Cape Coral FL 33904-5710. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Neurology. Chiropractic Providers / Neurology is his primary health care specialty. Johnson, Larry Dean can be contacted via phone (239) 471-9070.Contact Information
Primary practice address
2721 Del Prado Blvd S Ste 250
Cape Coral FL 33904-5710
Phone: (239) 471-9070
Fax: (239) 574-9454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH5495 | Florida |
| Chiropractic Providers / Neurology | 111NN0400X | CH5495 | Florida |
Profile Details
| NPI number | 1669448155 |
|---|---|
| LBN Legal business name | Johnson, Larry Dean |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Apr 5th, 2024 - about last year |
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 | 1669448155 | NPPES |
| Other | 350053600 | RAILROAD MEDICARE | |
| MEDICAID | 381717200 | RAILROAD MEDICARE |
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