Johnson, Kenneth Burton
Johnson, Kenneth Burton is an individual health care provider with primary practice located at 769 Medical Center Ct Suite 202, Chula Vista CA 91911-6660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Johnson, Kenneth Burton can be contacted via phone (619) 482-8430.Contact Information
Primary practice address
769 Medical Center Ct Suite 202
Chula Vista CA 91911-6660
Phone: (619) 482-8430
Fax: (619) 482-8005
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | A79802 | California |
Profile Details
NPI number | 1063527711 |
---|---|
LBN Legal business name | Johnson, Kenneth Burton |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 21st, 2006 |
Last updated | Jul 19th, 2012 - about 12 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 | 1063527711 | NPPES |
California | MEDICAID | GR0100450 |
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