Johnson, Daniel R
Johnson, Daniel R is an sole proprietor health care provider with primary practice located at 3745 Geist Road , Fairbanks AK 99709-3554. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Johnson, Daniel R can be contacted via phone (907) 456-3338.Contact Information
Primary practice address
3745 Geist Road
Fairbanks AK 99709-3554
Phone: (907) 456-3338
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 5762 | Alaska |
Profile Details
| NPI number | 1053341594 |
|---|---|
| LBN Legal business name | Johnson, Daniel R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1053341594 | NPPES |
| Alaska | MEDICAID | MD6531 | |
| Alaska | MEDICAID | MD65311 |
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