Johnson, Jon J

Johnson, Jon J is an individual health care provider with primary practice located at 350 Heritage Way Ste 2100, Kalispell MT 59901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Johnson, Jon J can be contacted via phone (406) 257-8992.

Contact Information

Primary practice address
350 Heritage Way Ste 2100 Kalispell MT 59901
Fax: (406) 257-8996
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 7910 Montana

Profile Details

NPI number 1619902012
LBN Legal business name Johnson, Jon J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Dec 15th, 2011 - about 13 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 1619902012 NPPES
Montana MEDICAID 0073576

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