Johannessen, Donald J

Johannessen, Donald J is an sole proprietor health care provider with primary practice located at 425 E 79Th St Suite 1E, New York NY 10021-1037. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as his primary health care specialty. Johannessen, Donald J can be contacted via phone (212) 249-4739.

Contact Information

Primary practice address
425 E 79Th St Suite 1E New York NY 10021-1037
Phone: (212) 249-4739
Fax: (212) 737-5574
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 173503 New York

Profile Details

NPI number 1295800142
LBN Legal business name Johannessen, Donald J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2006
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295800142 NPPES
New York MEDICAID 1557886

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