Johnson, Douglas C
Johnson, Douglas C is an individual health care provider with primary practice located at 3300 Main St 2Nd Fl, Ste A, Springfield MA 01107-1112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Johnson, Douglas C can be contacted via phone (413) 794-7330.Contact Information
Primary practice address
3300 Main St 2Nd Fl, Ste A
Springfield MA 01107-1112
Phone: (413) 794-7330
Fax: (413) 794-8163
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 43956 | Massachusetts |
Profile Details
| NPI number | 1710969738 |
|---|---|
| LBN Legal business name | Johnson, Douglas C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Dec 22nd, 2017 - about 7 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 | 1710969738 | NPPES |
| Massachusetts | Other | 711816 | TUFTS HEALTH PLAN |
| Massachusetts | Other | E05735 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 0173452 | TUFTS HEALTH PLAN |
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