Johnson, Gabriel Hayden

Johnson, Gabriel Hayden is an individual health care provider with primary practice located at 1008 Minnequa Ave , Pueblo CO 81004-3733. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Johnson, Gabriel Hayden can be contacted via phone (719) 584-7410.

Contact Information

Primary practice address
1008 Minnequa Ave Pueblo CO 81004-3733
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 48004 Colorado
Allopathic & Osteopathic Physicians / General Practice 208D00000X 48004 Colorado
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2018-00655 North Carolina

Profile Details

NPI number 1558523878
LBN Legal business name Johnson, Gabriel Hayden
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2008
Last updated Jun 3rd, 2020 - about 5 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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