Johnson, Jann
Johnson, Jann is an individual health care provider with primary practice located at 99 Montecillo Rd , San Rafael CA 94903-3308. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Johnson, Jann can be contacted via phone (415) 444-2000.Contact Information
Primary practice address
99 Montecillo Rd
San Rafael CA 94903-3308
Phone: (415) 444-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | G65965 | California |
Profile Details
| NPI number | 1275607889 |
|---|---|
| LBN Legal business name | Johnson, Jann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275607889 | NPPES |
| California | MEDICAID | 00G659650 |
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