Johnson, Michele Dawn

Johnson, Michele Dawn is an sole proprietor health care provider with primary practice located at 520 Greenwood Ave. , Blue Lake CA 95525-0903. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Johnson, Michele Dawn can be contacted via phone (707) 668-5683.

Contact Information

Primary practice address
520 Greenwood Ave. Blue Lake CA 95525-0903
Phone: (707) 668-5683
Fax: (707) 845-0088
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 654 California

Profile Details

NPI number 1205360088
LBN Legal business name Johnson, Michele Dawn
Credentials RDHAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2017
Last updated Apr 18th, 2017 - about 8 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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