Johnson, Neil Grant

Johnson, Neil Grant is an sole proprietor health care provider with primary practice located at 18300 Us Highway 18 St. Mary Medical Center, Apple Valley CA 92307-2206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Johnson, Neil Grant can be contacted via phone (909) 881-6427.

Contact Information

Primary practice address
18300 Us Highway 18 St. Mary Medical Center Apple Valley CA 92307-2206
Phone: (909) 881-6427
Fax: (909) 880-8708
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X G20232 California

Profile Details

NPI number 1740274380
LBN Legal business name Johnson, Neil Grant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2005
Last updated Mar 5th, 2008 - about 16 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 1740274380 NPPES
California MEDICAID 00G202320

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