Johnson, Michael Wayne
Johnson, Michael Wayne is an individual health care provider with primary practice located at 8559 Edinbrook Pkwy , Brooklyn Park MN 55443-3747. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnson, Michael Wayne can be contacted via phone (763) 425-3644.Contact Information
Primary practice address
8559 Edinbrook Pkwy
Brooklyn Park MN 55443-3747
Phone: (763) 425-3644
Fax: (763) 425-0953
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D12074 | Minnesota |
Profile Details
| NPI number | 1659432664 |
|---|---|
| LBN Legal business name | Johnson, Michael Wayne |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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