Johnson, Richard

Johnson, Richard is an individual health care provider with primary practice located at 12700 E 19Th Ave , Aurora CO 80045-2560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Johnson, Richard can be contacted via phone (303) 724-4852.

Contact Information

Primary practice address
12700 E 19Th Ave Aurora CO 80045-2560
Phone: (303) 724-4852
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 46977 Colorado

Profile Details

NPI number 1194768416
LBN Legal business name Johnson, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Nov 19th, 2012 - about 13 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 1194768416 NPPES
Colorado MEDICAID 66650259

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