Johnson, Douglas R

Johnson, Douglas R is an individual health care provider with primary practice located at 1001 Sam Perry Blvd , Fredericksburg VA 22401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Johnson, Douglas R can be contacted via phone (540) 741-1167.

Contact Information

Primary practice address
1001 Sam Perry Blvd Fredericksburg VA 22401
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 0101043347 Virginia

Profile Details

NPI number 1629019625
LBN Legal business name Johnson, Douglas R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Nov 20th, 2007 - about 17 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 1629019625 NPPES
Other P00130821 RAILROAD MEDICARE

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