Johnson, Stacy Duane
Johnson, Stacy Duane is an individual health care provider with primary practice located at 3056 W Stones Crossing Rd , Greenwood IN 46143. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnson, Stacy Duane can be contacted via phone (317) 535-7141.Contact Information
Primary practice address
3056 W Stones Crossing Rd
Greenwood IN 46143
Phone: (317) 535-7141
Fax: (317) 535-7142
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12009239 | Indiana |
Profile Details
| NPI number | 1568511582 |
|---|---|
| LBN Legal business name | Johnson, Stacy Duane |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Aug 28th, 2007 - about 17 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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