Johnson, Richard Lee
Johnson, Richard Lee is an individual health care provider with primary practice located at 82 Medical Group/Credentials 149 Hart Street, Sheppard Afb TX 76311-3482. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Johnson, Richard Lee can be contacted via phone (940) 676-2003.Contact Information
Primary practice address
82 Medical Group/Credentials 149 Hart Street
Sheppard Afb TX 76311-3482
Phone: (940) 676-2003
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DS0000005348 | Tennessee |
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | MD0000035690 | Tennessee |
Profile Details
NPI number | 1174509665 |
---|---|
LBN Legal business name | Johnson, Richard Lee |
Credentials | DDS, MD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 16th, 2005 |
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.
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