Johnson, Jay D.

Johnson, Jay D. is an individual health care provider with primary practice located at 3801 Lake Otis Pkwy Ste 200 , Anchorage AK 99508-5234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Johnson, Jay D. can be contacted via phone (907) 212-6900.

Contact Information

Primary practice address
3801 Lake Otis Pkwy Ste 200 Anchorage AK 99508-5234
Phone: (907) 212-6900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 4028 Oklahoma

Profile Details

NPI number 1023171071
LBN Legal business name Johnson, Jay D.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Aug 4th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023171071 NPPES
Oklahoma MEDICAID 200001850A

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