Johnson, David Joseph

Johnson, David Joseph is an individual health care provider with primary practice located at 3346 Professional Park Dr , Owensboro KY 42303-4551. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Johnson, David Joseph can be contacted via phone (270) 685-1066.

Contact Information

Primary practice address
3346 Professional Park Dr Owensboro KY 42303-4551
Fax: (270) 685-0881
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 37125 Kentucky

Profile Details

NPI number 1215933247
LBN Legal business name Johnson, David Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Mar 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215933247 NPPES
Kentucky MEDICAID 64049521

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