Johnson, Jacob Daniel

Johnson, Jacob Daniel is an sole proprietor health care provider with primary practice located at 15411 Park Village Blvd , Taylor MI 48180-4886. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Johnson, Jacob Daniel can be contacted via phone (646) 714-1984.

Contact Information

Primary practice address
15411 Park Village Blvd Taylor MI 48180-4886
Phone: (646) 714-1984
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 5101020933 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X 5101020933 Michigan

Profile Details

NPI number 1962760124
LBN Legal business name Johnson, Jacob Daniel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2012
Last updated Nov 21st, 2015 - about 9 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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