Johnson, Dana D

Johnson, Dana D is an individual health care provider with primary practice located at 2150 Highway 54 S , Alamogordo NM 88310-7330. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnson, Dana D can be contacted via phone (575) 443-8133.

Contact Information

Primary practice address
2150 Highway 54 S Alamogordo NM 88310-7330
Fax: (575) 443-8055
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036.126547 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A138006 New Mexico
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A-1896-15 New Mexico

Profile Details

NPI number 1275619314
LBN Legal business name Johnson, Dana D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Oct 29th, 2015 - about 10 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 1275619314 NPPES
New Mexico MEDICAID 88225038

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