Johnson, Jeff L

Johnson, Jeff L is an individual health care provider with primary practice located at 101 W 8Th Ave , Spokane WA 99204-2307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Johnson, Jeff L can be contacted via phone (509) 474-3260.

Contact Information

Primary practice address
101 W 8Th Ave Spokane WA 99204-2307
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00034928 Washington

Profile Details

NPI number 1558353201
LBN Legal business name Johnson, Jeff L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Dec 18th, 2015 - about 10 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 1558353201 NPPES
Washington MEDICAID 1558353201
Washington Other P01308988

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