Johnson, Jeremiah David
Johnson, Jeremiah David is an individual health care provider with primary practice located at 4901 Lang Ave Ne , Albuquerque NM 87109-4397. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Johnson, Jeremiah David can be contacted via phone (505) 842-8171.Contact Information
Primary practice address
4901 Lang Ave Ne
Albuquerque NM 87109-4397
Phone: (505) 842-8171
Fax: (505) 246-0684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 53837 | Kentucky |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | MD2023-1654 | New Mexico |
Profile Details
| NPI number | 1821594136 |
|---|---|
| LBN Legal business name | Johnson, Jeremiah David |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2018 |
| Last updated | Jun 11th, 2024 - about last year |
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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