Johnson, Keith Patrick

Johnson, Keith Patrick is an individual health care provider with primary practice located at 85 Harristown Road Suite 103, Glen Rock NJ 07452. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Johnson, Keith Patrick can be contacted via phone (844) 366-8800.

Contact Information

Primary practice address
85 Harristown Road Suite 103 Glen Rock NJ 07452
Fax: (844) 366-8900
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA07819000 New Jersey
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 25MA07819000 New Jersey
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 25MA07819000 New Jersey

Profile Details

NPI number 1487616967
LBN Legal business name Johnson, Keith Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Jan 19th, 2016 - about 8 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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