Johnson, Peter David
Johnson, Peter David is an individual health care provider with primary practice located at 1210 W 18Th St Ste 100, Sioux Falls SD 57104-9890. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Johnson, Peter David can be contacted via phone (605) 312-8500.Contact Information
Primary practice address
1210 W 18Th St Ste 100
Sioux Falls SD 57104-9890
Phone: (605) 312-8500
Fax: (605) 312-8501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 4108 | South Dakota |
Profile Details
| NPI number | 1588660393 |
|---|---|
| LBN Legal business name | Johnson, Peter David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Mar 25th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588660393 | NPPES |
| South Dakota | MEDICAID | 6100182 |
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