Johnson, Jeffrey Loren

Johnson, Jeffrey Loren is an individual health care provider with primary practice located at 3061 S Maryland Pkwy Suite 102, Las Vegas NV 89109-2298. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Radiology, which is considered as his primary health care specialty. Johnson, Jeffrey Loren can be contacted via phone (702) 731-2888.

Contact Information

Primary practice address
3061 S Maryland Pkwy Suite 102 Las Vegas NV 89109-2298
Phone: (702) 731-2888
Fax: (702) 696-9289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 7412 Nevada

Profile Details

NPI number 1790763837
LBN Legal business name Johnson, Jeffrey Loren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Feb 21st, 2008 - about 16 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 1790763837 NPPES
Nevada Other NV7306 BLUE
Nevada MEDICAID 2019713 BLUE

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