Johnson, David D
Johnson, David D is an individual health care provider with primary practice located at 2175 Rosaline Ave , Redding CA 96001-2549. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Johnson, David D can be contacted via phone (530) 246-9806.Contact Information
Primary practice address
2175 Rosaline Ave
Redding CA 96001-2549
Phone: (530) 246-9806
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | G11110 | California |
Profile Details
| NPI number | 1801807805 |
|---|---|
| LBN Legal business name | Johnson, David D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Nov 1st, 2012 - about 13 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 | 1801807805 | NPPES |
| California | MEDICAID | 00G111100 |
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