Johnson, David Michael

Johnson, David Michael is an individual health care provider with primary practice located at 611 E Douglas Rd Ste 137 , Mishawaka IN 46545-1464. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Johnson, David Michael can be contacted via phone (574) 335-6214.

Contact Information

Primary practice address
611 E Douglas Rd Ste 137 Mishawaka IN 46545-1464
Phone: (574) 335-6214
Fax: (574) 335-6215
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 02005551A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02005551A Indiana

Profile Details

NPI number 1467981464
LBN Legal business name Johnson, David Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2017
Last updated Nov 8th, 2023 - about last year

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 1467981464 NPPES
Indiana Other 02005551A STATE LICENSE

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