Johnson, Gregory E
Johnson, Gregory E is an individual health care provider with primary practice located at 225 E Idaho Ave #17, Las Cruces NM 88005-3257. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Johnson, Gregory E can be contacted via phone (505) 526-5525.Contact Information
Primary practice address
225 E Idaho Ave #17
Las Cruces NM 88005-3257
Phone: (505) 526-5525
Fax: (505) 541-0498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 77190 | New Mexico |
Profile Details
| NPI number | 1750413258 |
|---|---|
| LBN Legal business name | Johnson, Gregory E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750413258 | NPPES |
| New Mexico | Other | NM009528 | BLUE CROSS BLUE SHIELD |
| New Mexico | MEDICAID | Z3673 | BLUE CROSS BLUE SHIELD |
| New Mexico | Other | 201023525 | BLUE CROSS BLUE SHIELD |
| New Mexico | MEDICAID | B9667 | BLUE CROSS BLUE SHIELD |
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