Johnson, Richard C
Johnson, Richard C is an individual health care provider with primary practice located at 3720 6Th Ave Ste A, Tacoma WA 98406-4938. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Johnson, Richard C can be contacted via phone (253) 752-1320.Contact Information
Primary practice address
3720 6Th Ave Ste A
Tacoma WA 98406-4938
Phone: (253) 752-1320
Fax: (253) 752-1425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Denturist | 122400000X | 416 | Washington |
Profile Details
| NPI number | 1679782973 |
|---|---|
| LBN Legal business name | Johnson, Richard C |
| Credentials | L.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679782973 | NPPES |
| Washington | MEDICAID | 5042817 |
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