Johnson, Eric B

Johnson, Eric B is an individual health care provider with primary practice located at 698 12Th St , Ogden UT 84404-6200. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Johnson, Eric B can be contacted via phone (801) 475-3700.

Contact Information

Primary practice address
698 12Th St Ogden UT 84404-6200
Phone: (801) 475-3700
Fax: (801) 475-3701
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3115451206 Utah

Profile Details

NPI number 1841289600
LBN Legal business name Johnson, Eric B
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated May 4th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841289600 NPPES
Utah MEDICAID 1841289600

Popular Providers