Johnson, Ryan Wayne

Johnson, Ryan Wayne is an individual health care provider with primary practice located at 4101 S 4Th St , Leavenworth KS 66048-5014. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnson, Ryan Wayne can be contacted via phone (913) 682-2000.

Contact Information

Primary practice address
4101 S 4Th St Leavenworth KS 66048-5014
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2001012906 Missouri

Profile Details

NPI number 1265565865
LBN Legal business name Johnson, Ryan Wayne
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Oct 23rd, 2015 - 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.

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