Johnson, Robert Dale
Johnson, Robert Dale is an individual health care provider with primary practice located at 130 Fisher Rd Central Vermont Hospital, Berlin VT 05602-9516. He recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Johnson, Robert Dale can be contacted via phone (802) 371-4249.Contact Information
Primary practice address
130 Fisher Rd Central Vermont Hospital
Berlin VT 05602-9516
Phone: (802) 371-4249
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 042-0005945 | Vermont |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 042-0005945 | Vermont |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 042-0005945 | Vermont |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 042-0005945 | Vermont |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 042-0005945 | Vermont |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 042-0005945 | Vermont |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 042-0005945 | Vermont |
Profile Details
| NPI number | 1497846067 |
|---|---|
| LBN Legal business name | Johnson, Robert Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Sep 1st, 2013 - about 11 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 | 1497846067 | NPPES |
| Vermont | MEDICAID | 0005065 | |
| Vermont | Other | 00005065 |
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