Johnson, Stephen Mackemer

Johnson, Stephen Mackemer is an individual health care provider with primary practice located at 1010 Three Springs Blvd , Durango CO 81301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Johnson, Stephen Mackemer can be contacted via phone (303) 306-7783.

Contact Information

Primary practice address
1010 Three Springs Blvd Durango CO 81301
Phone: (303) 306-7783
Fax: (303) 306-7753
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DR0025637 Colorado
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DR0025637 Colorado

Profile Details

NPI number 1326134875
LBN Legal business name Johnson, Stephen Mackemer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Mar 21st, 2014 - about 10 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 1326134875 NPPES
Colorado MEDICAID 64607038
Colorado MEDICAID K5526

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