Johnson, Michael Allan
Johnson, Michael Allan is an individual health care provider with primary practice located at 133 Towne Centre Pkwy , Myrtle Beach SC 29579-3493. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Johnson, Michael Allan can be contacted via phone (843) 449-1621.Contact Information
Primary practice address
133 Towne Centre Pkwy
Myrtle Beach SC 29579-3493
Phone: (843) 449-1621
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 958 | South Carolina |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 8811 | South Carolina |
Profile Details
| NPI number | 1427324243 |
|---|---|
| LBN Legal business name | Johnson, Michael Allan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2012 |
| Last updated | Dec 10th, 2019 - about 5 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 | 1427324243 | NPPES |
| South Carolina | Other | 8811 | DENTAL LICENSE |
| South Carolina | Other | 958 | DENTAL LICENSE |
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