Johns, Dirk A

Johns, Dirk A is an sole proprietor health care provider with primary practice located at 10 Brookside Dr , Longmeadow MA 01106-2318. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Johns, Dirk A can be contacted via phone (413) 531-7078.

Contact Information

Primary practice address
10 Brookside Dr Longmeadow MA 01106-2318
Fax: (413) 531-7078
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9434 Connecticut

Profile Details

NPI number 1407984669
LBN Legal business name Johns, Dirk A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2007
Last updated May 27th, 2021 - about 5 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 1407984669 NPPES
Massachusetts MEDICAID 1600371
Massachusetts Other Y39849

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