Johnson, Connor Vanderveer

Johnson, Connor Vanderveer is an individual health care provider with primary practice located at 2100 Powell St Ste 400 , Emeryville CA 94608-1872. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Johnson, Connor Vanderveer can be contacted via phone (510) 851-7501.

Contact Information

Primary practice address
2100 Powell St Ste 400 Emeryville CA 94608-1872
Phone: (510) 851-7501
Fax: (510) 851-7446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A138799 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A138799 California

Profile Details

NPI number 1780010603
LBN Legal business name Johnson, Connor Vanderveer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2013
Last updated Jan 11th, 2023 - about 2 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 1780010603 NPPES
California Other LICENSE A138799

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