Johnson, David Martin
Johnson, David Martin is an sole proprietor health care provider with primary practice located at 36 Old South Freeport Road , Freeport ME 04032-6146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, David Martin can be contacted via phone (207) 865-0341.Contact Information
Primary practice address
36 Old South Freeport Road
Freeport ME 04032-6146
Phone: (207) 865-0341
Fax: (207) 865-0817
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 795 | Maine |
Profile Details
| NPI number | 1821194267 |
|---|---|
| LBN Legal business name | Johnson, David Martin |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Aug 19th, 2008 - about 18 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 | 1821194267 | NPPES |
| Maine | MEDICAID | 103890000 |
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