Johnson, Jeffrey A

Johnson, Jeffrey A is an sole proprietor health care provider with primary practice located at 2517 7Th Ave S Suite A1, Great Falls MT 59405-3032. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Johnson, Jeffrey A can be contacted via phone (406) 771-0777.

Contact Information

Primary practice address
2517 7Th Ave S Suite A1 Great Falls MT 59405-3032
Phone: (406) 771-0777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 591PT Montana

Profile Details

NPI number 1245380393
LBN Legal business name Johnson, Jeffrey A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Jul 8th, 2007 - 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 1245380393 NPPES
Montana MEDICAID 3400408
Montana Other P00062292

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