Johnson, Jason

Johnson, Jason is an individual health care provider with primary practice located at 200 W. Hospital Dr. , Whiteriver AZ 95491-0860. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Johnson, Jason can be contacted via phone (928) 338-4911.

Contact Information

Primary practice address
200 W. Hospital Dr. Whiteriver AZ 95491-0860
Phone: (928) 338-4911
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 40617 Arizona

Profile Details

NPI number 1669517611
LBN Legal business name Johnson, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Mar 13th, 2012 - about 12 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 1669517611 NPPES
Arizona MEDICAID 1629236716
Arizona MEDICAID 353135
Arizona MEDICAID 1295993376
Arizona MEDICAID 1427335140
Arizona MEDICAID 1427335181

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