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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 10 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 1962555847 NPPES
North Dakota Other P00227623 RAILROAD MEDICARE
North Dakota MEDICAID 1452790 RAILROAD MEDICARE

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