Johnson, David Michael
Johnson, David Michael is an individual health care provider with primary practice located at 111 Colchester Ave Dept Radiology, Burlington VT 05401-1473. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Johnson, David Michael can be contacted via phone (802) 847-3592.Contact Information
Primary practice address
111 Colchester Ave Dept Radiology
Burlington VT 05401-1473
Phone: (802) 847-3592
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 224406 | New York |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 0101263416 | Virginia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 042-0011749 | Vermont |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 042-0011749 | Vermont |
Profile Details
| NPI number | 1396711966 |
|---|---|
| LBN Legal business name | Johnson, David Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Apr 23rd, 2024 - about 7 months 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 | 1396711966 | NPPES |
| New York | MEDICAID | 02421850 |
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