Johnson, David K
Johnson, David K is an individual health care provider with primary practice located at 1625 Ramblewood Dr , East Lansing MI 48823-6367. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as his primary health care specialty. Johnson, David K can be contacted via phone (517) 324-3705.Contact Information
Primary practice address
1625 Ramblewood Dr
East Lansing MI 48823-6367
Phone: (517) 324-3705
Fax: (517) 324-4589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X | DJ036689 | Michigan |
Profile Details
| NPI number | 1982799011 |
|---|---|
| LBN Legal business name | Johnson, David K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jan 14th, 2014 - about 10 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 | 1982799011 | NPPES |
| Michigan | MEDICAID | 101312174 | |
| Michigan | Other | 340009577 | |
| Michigan | Other | DR330319 | |
| Michigan | Other | 1000638 | |
| Michigan | Other | 200000002171 | |
| Michigan | Other | 340C376010 | |
| Michigan | Other | 4496865 |
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