Johnson, Glenn Dwight

Johnson, Glenn Dwight is an individual health care provider with primary practice located at Dartmouth-Hitchcock Medical Center One Medical Center Drive, Lebanon NH 03756-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otology & Neurotology, which is considered as his primary health care specialty. Johnson, Glenn Dwight can be contacted via phone (603) 650-8124.

Contact Information

Primary practice address
Dartmouth-Hitchcock Medical Center One Medical Center Drive Lebanon NH 03756-0001
Phone: (603) 650-8124
Fax: (603) 650-7898
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X 6028 New Hampshire

Profile Details

NPI number 1063441434
LBN Legal business name Johnson, Glenn Dwight
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 8th, 2007 - about 18 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 1063441434 NPPES
Vermont MEDICAID 0006900
Vermont MEDICAID 00000094

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