Johnson, Derek Brent

Johnson, Derek Brent is an sole proprietor health care provider with primary practice located at 5121 S Cottonwood Street Intermountain Medical Center, Murray UT 84157-2520. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Johnson, Derek Brent can be contacted via phone (801) 507-5248.

Contact Information

Primary practice address
5121 S Cottonwood Street Intermountain Medical Center Murray UT 84157-2520
Phone: (801) 507-5248
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 359058-1204 Utah
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 2006018684 Missouri

Profile Details

NPI number 1962605857
LBN Legal business name Johnson, Derek Brent
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2007
Last updated Jan 9th, 2012 - about 12 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.

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