Johnson, Paul M

Johnson, Paul M is an individual health care provider with primary practice located at 1401 25Th St S , Great Falls MT 59405-5183. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Johnson, Paul M can be contacted via phone (406) 731-8888.

Contact Information

Primary practice address
1401 25Th St S Great Falls MT 59405-5183
Phone: (406) 731-8888
Fax: (406) 731-8876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 10291 Montana

Profile Details

NPI number 1780767616
LBN Legal business name Johnson, Paul M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Apr 2nd, 2021 - about 4 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 1780767616 NPPES
Montana Other 000093475 BLUE CROSS
Montana MEDICAID 0058327 BLUE CROSS
Montana MEDICAID 12219 BLUE CROSS
Montana Other 080192535 BLUE CROSS

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