Johnson, Roger Alan
Johnson, Roger Alan is an individual health care provider with primary practice located at 308 S Johnson , Visalia CA 93291. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Johnson, Roger Alan can be contacted via phone (559) 734-1171.Contact Information
Primary practice address
308 S Johnson
Visalia CA 93291
Phone: (559) 734-1171
Fax: (559) 734-6849
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E1217 | California |
Profile Details
| NPI number | 1831281013 |
|---|---|
| LBN Legal business name | Johnson, Roger Alan |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Feb 3rd, 2010 - about 14 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 | 1831281013 | NPPES |
| California | MEDICAID | 3974531 |
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