Johnson, Ronald
Johnson, Ronald is an sole proprietor health care provider with primary practice located at 4804 Ne Thurston Way Ste C , Vancouver WA 98662-6478. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Johnson, Ronald can be contacted via phone (360) 892-7060.Contact Information
Primary practice address
4804 Ne Thurston Way Ste C
Vancouver WA 98662-6478
Phone: (360) 892-7060
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Denturist | 122400000X | DN00000290 | Washington |
Profile Details
| NPI number | 1841605235 |
|---|---|
| LBN Legal business name | Johnson, Ronald |
| Credentials | LD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2014 |
| Last updated | Jun 25th, 2014 - about 10 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 | 1841605235 | NPPES |
| Washington | MEDICAID | 1659484244 |
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