Johnson, Richard A
Johnson, Richard A is an individual health care provider with primary practice located at 50 Staniford St 2Nd Fl S50 200, Boston MA 02114. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Johnson, Richard A can be contacted via phone (617) 726-2914.Contact Information
Primary practice address
50 Staniford St 2Nd Fl S50 200
Boston MA 02114
Phone: (617) 726-2914
Fax: (617) 724-2135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 33609 | Massachusetts |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 33609 | Massachusetts |
Profile Details
| NPI number | 1750355384 |
|---|---|
| LBN Legal business name | Johnson, Richard A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Nov 5th, 2012 - about 12 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 | 1750355384 | NPPES |
| Massachusetts | Other | B51032 | BCBS MA |
| Massachusetts | Other | 033609 | BCBS MA |
| Massachusetts | MEDICAID | 2025884 | BCBS MA |
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