Johnson, Raymont Herbert
Johnson, Raymont Herbert is an sole proprietor health care provider with primary practice located at 808 E Manchester Blvd , Inglewood CA 90301-1914. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnson, Raymont Herbert can be contacted via phone (310) 671-1234.Contact Information
Primary practice address
808 E Manchester Blvd
Inglewood CA 90301-1914
Phone: (310) 671-1234
Fax: (310) 677-8853
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 25404 | California |
Profile Details
| NPI number | 1568589208 |
|---|---|
| LBN Legal business name | Johnson, Raymont Herbert |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568589208 | NPPES |
| California | Other | 953877361 | TAX PAYER ID |
| California | Other | 025404 | TAX PAYER ID |
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