Johnson, Jeffrey E
Johnson, Jeffrey E is an individual health care provider with primary practice located at 4921 Parkview Pl Ste 6A/6B/12A, Saint Louis MO 63110-1032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as his primary health care specialty. Johnson, Jeffrey E can be contacted via phone (314) 514-3566.Contact Information
Primary practice address
4921 Parkview Pl Ste 6A/6B/12A
Saint Louis MO 63110-1032
Phone: (314) 514-3566
Fax: (314) 514-3689
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | 111944 | Missouri |
Profile Details
| NPI number | 1275551699 |
|---|---|
| LBN Legal business name | Johnson, Jeffrey E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Dec 17th, 2019 - about 5 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 | 1275551699 | NPPES |
| Missouri | MEDICAID | 208699603 | |
| Missouri | MEDICAID | ENROLLED |
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