Johnson, Allen Duane
Johnson, Allen Duane is an individual health care provider with primary practice located at 628 N Main St , Ashland OR 97520-1710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Johnson, Allen Duane can be contacted via phone (541) 482-6831.Contact Information
Primary practice address
628 N Main St
Ashland OR 97520-1710
Phone: (541) 482-6831
Fax: (541) 512-1689
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD11300 | Oregon |
Profile Details
| NPI number | 1710967062 |
|---|---|
| LBN Legal business name | Johnson, Allen Duane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710967062 | NPPES |
| Oregon | MEDICAID | 234484 |
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