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
Phone: (575) 443-8133
Fax: (575) 443-8055
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275619314 | NPPES |
New Mexico | MEDICAID | 88225038 |
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