Johnson, Kurt

Johnson, Kurt is an individual health care provider with primary practice located at 2626 N California St Suite G, Stockton CA 95204-5500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Johnson, Kurt can be contacted via phone (209) 464-9846.

Contact Information

Primary practice address
2626 N California St Suite G Stockton CA 95204-5500
Phone: (209) 464-9846
Fax: (209) 464-4082
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A50606 California
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X A50606 California

Profile Details

NPI number 1265466866
LBN Legal business name Johnson, Kurt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Oct 9th, 2007 - about 17 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 1265466866 NPPES
California MEDICAID 00A506060

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