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
Phone: (402) 294-3212
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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