Johnston, Roger Dale

Johnston, Roger Dale is an sole proprietor health care provider with primary practice located at 160 Keonekai Rd Apt 27-206 , Kihei HI 96753-7145. He recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as his primary health care specialty. Johnston, Roger Dale can be contacted via phone (801) 592-6432.

Contact Information

Primary practice address
160 Keonekai Rd Apt 27-206 Kihei HI 96753-7145
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1750718979
LBN Legal business name Johnston, Roger Dale
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2013
Last updated Nov 2nd, 2023 - about 3 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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