Johnson, Keith A
Johnson, Keith A is an individual health care provider with primary practice located at 33 Fruit St Mass General Physican Organization, Boston MA 02114-2621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Johnson, Keith A can be contacted via phone (617) 724-7066.Contact Information
Primary practice address
33 Fruit St Mass General Physican Organization
Boston MA 02114-2621
Phone: (617) 724-7066
Fax: (617) 726-5123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 50853 | Massachusetts |
Profile Details
| NPI number | 1841263159 |
|---|---|
| LBN Legal business name | Johnson, Keith A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Oct 21st, 2014 - about 10 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 | 1841263159 | NPPES |
| Massachusetts | Other | 705161 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J04057 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 6187668 | TUFTS HEALTH PLAN |
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