Johnson, Shannan Michelle

Johnson, Shannan Michelle is an individual health care provider with primary practice located at 2501 Capehart Rd , Offutt Afb NE 68113-1043. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Johnson, Shannan Michelle can be contacted via phone (402) 294-3212.

Contact Information

Primary practice address
2501 Capehart Rd Offutt Afb NE 68113-1043
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 7502 Nebraska

Profile Details

NPI number 1114259868
LBN Legal business name Johnson, Shannan Michelle
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2010
Last updated Dec 5th, 2019 - about 5 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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