Johnson, Eric E

Johnson, Eric E is an individual health care provider with primary practice located at 45 Resnik Rd Suite 202, Plymouth MA 02360-4844. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Johnson, Eric E can be contacted via phone (508) 746-0754.

Contact Information

Primary practice address
45 Resnik Rd Suite 202 Plymouth MA 02360-4844
Fax: (508) 747-7867
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 44560 Massachusetts

Profile Details

NPI number 1184610958
LBN Legal business name Johnson, Eric E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jun 6th, 2012 - about 12 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 1184610958 NPPES
Massachusetts Other C20257 BCBS
Massachusetts MEDICAID 0117455 BCBS

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