Johns, Jeffrey Fordham
Johns, Jeffrey Fordham is an individual health care provider with primary practice located at 2640 Martin Luther King Jr Way , Berkeley CA 94704-3238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Johns, Jeffrey Fordham can be contacted via phone (510) 981-5290.Contact Information
Primary practice address
2640 Martin Luther King Jr Way
Berkeley CA 94704-3238
Phone: (510) 981-5290
Fax: (510) 981-5265
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A93824 | California |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 45624-020 | Wisconsin |
Profile Details
| NPI number | 1922096932 |
|---|---|
| LBN Legal business name | Johns, Jeffrey Fordham |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Nov 1st, 2012 - 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.
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