Johnson, John David
Johnson, John David is an individual health care provider with primary practice located at 3401 E Saginaw St Suite 111, Lansing MI 48912-4775. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Johnson, John David can be contacted via phone (517) 351-7640.Contact Information
Primary practice address
3401 E Saginaw St Suite 111
Lansing MI 48912-4775
Phone: (517) 351-7640
Fax: (517) 351-9462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 5901001391 | Michigan |
Profile Details
| NPI number | 1063405348 |
|---|---|
| LBN Legal business name | Johnson, John David |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1063405348 | NPPES |
| Michigan | MEDICAID | 4135734 |
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