Johnson, Melissa Mary
Johnson, Melissa Mary is an individual health care provider with primary practice located at 1711 Shawno Ave , Green Bay WI 54303. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Johnson, Melissa Mary can be contacted via phone (920) 494-9541.Contact Information
Primary practice address
1711 Shawno Ave
Green Bay WI 54303
Phone: (920) 494-9541
Fax: (920) 494-8195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 6901016 | Wisconsin |
Profile Details
| NPI number | 1386779072 |
|---|---|
| LBN Legal business name | Johnson, Melissa Mary |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2007 |
| 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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