Johnson, Samuel Elan
Johnson, Samuel Elan is an individual health care provider with primary practice located at 3 Medical Plaza Dr Suite 140, Roseville CA 95661-3087. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Johnson, Samuel Elan can be contacted via phone (916) 865-1400.Contact Information
Primary practice address
3 Medical Plaza Dr Suite 140
Roseville CA 95661-3087
Phone: (916) 865-1400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 20A6457 | California |
Profile Details
NPI number | 1326162991 |
---|---|
LBN Legal business name | Johnson, Samuel Elan |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 19th, 2007 |
Last updated | Feb 10th, 2017 - about 7 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 | 1326162991 | NPPES |
Other | 20A6457 | OSTEOPATHIC MEDICAL LIC. |
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