Johnson, Dave R
Johnson, Dave R is an individual health care provider with primary practice located at 101 E Minnesota St Suite 260, Rapid City SD 57701-7756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Johnson, Dave R can be contacted via phone (605) 718-7450.Contact Information
Primary practice address
101 E Minnesota St Suite 260
Rapid City SD 57701-7756
Phone: (605) 718-7450
Fax: (605) 718-7465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 1584 | South Dakota |
Profile Details
| NPI number | 1821038944 |
|---|---|
| LBN Legal business name | Johnson, Dave R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Nov 30th, 2007 - about 17 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 | 1821038944 | NPPES |
| South Dakota | MEDICAID | 6001252 |
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