Johnson, Traci L
Johnson, Traci L is an individual health care provider with primary practice located at 2300 Lancaster Dr Ne , Salem OR 97305-1223. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Johnson, Traci L can be contacted via phone (503) 370-4843.Contact Information
Primary practice address
2300 Lancaster Dr Ne
Salem OR 97305-1223
Phone: (503) 370-4843
Fax: (503) 375-5737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X |
Profile Details
| NPI number | 1063771137 |
|---|---|
| LBN Legal business name | Johnson, Traci L |
| Credentials | EFDA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2012 |
| Last updated | May 10th, 2012 - about 13 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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