Johnson, David Sidney
Johnson, David Sidney is an individual health care provider with primary practice located at 751 S Bascom Ave Psychiatry Department, San Jose CA 95128-2604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Johnson, David Sidney can be contacted via phone (408) 885-6100.Contact Information
Primary practice address
751 S Bascom Ave Psychiatry Department
San Jose CA 95128-2604
Phone: (408) 885-6100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A65870 | California |
Profile Details
| NPI number | 1255395331 |
|---|---|
| LBN Legal business name | Johnson, David Sidney |
| Credentials | MD,PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Dec 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255395331 | NPPES |
| California | MEDICAID | 00A658700 |
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