Johnston, Katie Eileen

Johnston, Katie Eileen is an sole proprietor health care provider with primary practice located at 3968 Pine Grove Ave , Fort Gratiot MI 48059-4218. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Johnston, Katie Eileen can be contacted via phone (810) 984-2208.

Contact Information

Primary practice address
3968 Pine Grove Ave Fort Gratiot MI 48059-4218
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901020548 Michigan
Dental Providers / General Practice 1223G0001X 019.027567 Illinois

Profile Details

NPI number 1841497179
LBN Legal business name Johnston, Katie Eileen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2007
Last updated Mar 27th, 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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