Johnson, Steven Paul
Johnson, Steven Paul is an individual health care provider with primary practice located at 4 Shaws Cv Ste 103, New London CT 06320-4956. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Steven Paul can be contacted via phone (860) 443-3778.Contact Information
Primary practice address
4 Shaws Cv Ste 103
New London CT 06320-4956
Phone: (860) 443-3778
Fax: (860) 443-8820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 27140 | Connecticut |
Profile Details
| NPI number | 1902801434 |
|---|---|
| LBN Legal business name | Johnson, Steven Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1902801434 | NPPES |
| Connecticut | MEDICAID | 004071320 |
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