Johnson, Jeffrey R

Johnson, Jeffrey R is an individual health care provider with primary practice located at 1675 Watertower Place Suite 100, East Lansing MI 48823. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Johnson, Jeffrey R can be contacted via phone (517) 332-0200.

Contact Information

Primary practice address
1675 Watertower Place Suite 100 East Lansing MI 48823
Phone: (517) 332-0200
Fax: (517) 332-0963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301042405 Michigan

Profile Details

NPI number 1730160904
LBN Legal business name Johnson, Jeffrey R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jul 12th, 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 1730160904 NPPES
Michigan MEDICAID 3493103

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