Johnson, Gary N
Johnson, Gary N is an individual health care provider with primary practice located at 900 E Broadway Ave , Bismarck ND 58501-4520. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Johnson, Gary N can be contacted via phone (701) 530-6500.Contact Information
Primary practice address
900 E Broadway Ave
Bismarck ND 58501-4520
Phone: (701) 530-6500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 4094 | North Dakota |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 4094 | North Dakota |
Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 4094 | North Dakota |
Profile Details
NPI number | 1962555847 |
---|---|
LBN Legal business name | Johnson, Gary N |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 22nd, 2007 |
Last updated | Jul 22nd, 2016 - about 8 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 | 1962555847 | NPPES |
North Dakota | Other | P00227623 | RAILROAD MEDICARE |
North Dakota | MEDICAID | 1452790 | RAILROAD MEDICARE |
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