Johnson, Michael Ray

Johnson, Michael Ray is an individual health care provider with primary practice located at 1268 W South Jordan Pkwy Ste 201, South Jordan UT 84095-4652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Johnson, Michael Ray can be contacted via phone (801) 254-9700.

Contact Information

Primary practice address
1268 W South Jordan Pkwy Ste 201 South Jordan UT 84095-4652
Phone: (801) 254-9700
Fax: (801) 254-9755
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 4550767-1205 Utah

Profile Details

NPI number 1396839403
LBN Legal business name Johnson, Michael Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 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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