Johnson, Douglas Brent

Johnson, Douglas Brent is an sole proprietor health care provider with primary practice located at 3440 S Higuera St Suite 120, San Luis Obispo CA 93401-7393. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Johnson, Douglas Brent can be contacted via phone (805) 439-2159.

Contact Information

Primary practice address
3440 S Higuera St Suite 120 San Luis Obispo CA 93401-7393
Phone: (805) 439-2159
Fax: (805) 439-2160
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT14568 California

Profile Details

NPI number 1609895432
LBN Legal business name Johnson, Douglas Brent
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Sep 7th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609895432 NPPES
California MEDICAID PT0145680

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