Johnson, Robert Jackson

Johnson, Robert Jackson is an sole proprietor health care provider with primary practice located at 150 55Th St , Brooklyn NY 11220-2508. He recently has only one registered license in Dental Providers / Dentist Anesthesiologist, which is considered as his primary health care specialty. Johnson, Robert Jackson can be contacted via phone (718) 630-7000.

Contact Information

Primary practice address
150 55Th St Brooklyn NY 11220-2508
Phone: (718) 630-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist Anesthesiologist 1223D0004X 4405-23 Mississippi
Dental Providers / Dentist Anesthesiologist 1223D0004X D012025 Arizona
Dental Providers / Dentist Anesthesiologist 1223D0004X 11770 Tennessee

Profile Details

NPI number 1629601679
LBN Legal business name Johnson, Robert Jackson
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2020
Last updated Jun 12th, 2024 - about 6 months 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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