Johnson, Gregory

Johnson, Gregory is an individual health care provider with primary practice located at 1 Recovery Rd , Wareham MA 02571-5011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Johnson, Gregory can be contacted via phone (508) 295-5100.

Contact Information

Primary practice address
1 Recovery Rd Wareham MA 02571-5011
Fax: (508) 295-9467
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 40750 Massachusetts

Profile Details

NPI number 1366422677
LBN Legal business name Johnson, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1366422677 NPPES
Massachusetts MEDICAID 2056283
Massachusetts Other 17022
Massachusetts Other 000000023729
Massachusetts Other 28592
Massachusetts Other 766401
Massachusetts Other B20436401
Massachusetts Other B33524
Massachusetts Other 0018476
Massachusetts Other 09-00266
Massachusetts Other 0563550

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