Johnson, James Edward

Johnson, James Edward is an individual health care provider with primary practice located at 1460 Ne Medical Center Dr , Bend OR 97701-6061. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Johnson, James Edward can be contacted via phone (541) 382-6633.

Contact Information

Primary practice address
1460 Ne Medical Center Dr Bend OR 97701-6061
Fax: (541) 382-2719
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD15514 Oregon

Profile Details

NPI number 1952384364
LBN Legal business name Johnson, James Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jul 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952384364 NPPES
Oregon MEDICAID 072249

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