Johnson, Martha
Johnson, Martha is an individual health care provider with primary practice located at 1845 Holsonback Dr , Daytona Beach FL 32117-5114. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Johnson, Martha can be contacted via phone (386) 624-3262.Contact Information
Primary practice address
1845 Holsonback Dr
Daytona Beach FL 32117-5114
Phone: (386) 624-3262
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | Florida | |
| Dental Providers / Dental Hygienist | 124Q00000X |
Profile Details
| NPI number | 1891314308 |
|---|---|
| LBN Legal business name | Johnson, Martha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2020 |
| Last updated | Apr 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891314308 | NPPES |
| Florida | MEDICAID | UNKNOWN |
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