Langenbrunner, John G
Langenbrunner, John G is an sole proprietor health care provider with primary practice located at 712 W Walnut St , Johnson City TN 37604-6524. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Langenbrunner, John G can be contacted via phone (423) 928-5500.Contact Information
Primary practice address
712 W Walnut St
Johnson City TN 37604-6524
Phone: (423) 928-5500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DS3637 | Tennessee |
Profile Details
| NPI number | 1669543419 |
|---|---|
| LBN Legal business name | Langenbrunner, John G |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Aug 1st, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669543419 | NPPES |
| Tennessee | MEDICAID | 3225187 |
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