Johnson, Bruce E
Johnson, Bruce E is an individual health care provider with primary practice located at 1008 First Colonial Rd Suite 103, Virginia Beach VA 23454-3071. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Johnson, Bruce E can be contacted via phone (757) 481-2515.Contact Information
Primary practice address
1008 First Colonial Rd Suite 103
Virginia Beach VA 23454-3071
Phone: (757) 481-2515
Fax: (757) 481-4064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 0101033614 | Virginia |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 0101033614 | Virginia |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 0101033614 | Virginia |
Profile Details
| NPI number | 1619076643 |
|---|---|
| LBN Legal business name | Johnson, Bruce E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Jan 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619076643 | NPPES |
| Virginia | Other | 0601762003 | CIGNA |
| Virginia | MEDICAID | 5819229 | CIGNA |
| Virginia | Other | 325089 | CIGNA |
| Virginia | Other | V29930786 | CIGNA |
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