Johnson, David Grant
Johnson, David Grant is an individual health care provider with primary practice located at 2131 E State St , Athens OH 45701-2138. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Johnson, David Grant can be contacted via phone (740) 589-3100.Contact Information
Primary practice address
2131 E State St
Athens OH 45701-2138
Phone: (740) 589-3100
Fax: (740) 589-3123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35.057127 | Ohio |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 12479 | West Virginia |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 35.057127 | Ohio |
Profile Details
| NPI number | 1235131848 |
|---|---|
| LBN Legal business name | Johnson, David Grant |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Jan 21st, 2021 - about 3 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 | 1235131848 | NPPES |
| Ohio | Other | P00806992 | RAILROAD MEDICARE |
| Ohio | Other | 000000277616 | RAILROAD MEDICARE |
| Ohio | MEDICAID | 0597813 | RAILROAD MEDICARE |
| Ohio | MEDICAID | 0049793000 | RAILROAD MEDICARE |
| Ohio | Other | 0597813 | RAILROAD MEDICARE |
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