Johnson, Michael Jerome

Johnson, Michael Jerome is an individual health care provider with primary practice located at 700 9Th Ave S , Watertown SD 57201. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Johnson, Michael Jerome can be contacted via phone (605) 882-9424.

Contact Information

Primary practice address
700 9Th Ave S Watertown SD 57201
Phone: (605) 882-9424
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 503 South Dakota
Eye and Vision Services Providers / Optometrist 152W00000X 2428 Minnesota

Profile Details

NPI number 1548204191
LBN Legal business name Johnson, Michael Jerome
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 8th, 2007 - about 18 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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