Johnson, David E
Johnson, David E is an individual health care provider with primary practice located at 2090 Uadalabene Drive , Maryville IL 62062. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Johnson, David E can be contacted via phone (618) 288-5430.Contact Information
Primary practice address
2090 Uadalabene Drive
Maryville IL 62062
Phone: (618) 288-5430
Fax: (618) 288-6857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209-004434 | Illinois |
Profile Details
| NPI number | 1477742047 |
|---|---|
| LBN Legal business name | Johnson, David E |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2007 |
| Last updated | Apr 17th, 2020 - about 4 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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