Johnson, Eric
Johnson, Eric is an sole proprietor health care provider with primary practice located at 4401 Harrison Blvd , Salt Lake City UT 84132-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Johnson, Eric can be contacted via phone (702) 370-9273.Contact Information
Primary practice address
4401 Harrison Blvd
Salt Lake City UT 84132-0001
Phone: (702) 370-9273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 1649665399 | Utah |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1649665399 |
|---|---|
| LBN Legal business name | Johnson, Eric |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2015 |
| Last updated | Jul 2nd, 2021 - about 4 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 | 1649665399 | NPPES |
| Utah | MEDICAID | 1649665399 |
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