Johnson, Adam Crandall
Johnson, Adam Crandall is an individual health care provider with primary practice located at 2300 E 30Th St Bldg D Ste 101, Farmington NM 87401-8990. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Johnson, Adam Crandall can be contacted via phone (505) 327-1400.Contact Information
Primary practice address
2300 E 30Th St Bldg D Ste 101
Farmington NM 87401-8990
Phone: (505) 327-1400
Fax: (505) 564-3202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD2012-0310 | New Mexico |
Profile Details
| NPI number | 1407073687 |
|---|---|
| LBN Legal business name | Johnson, Adam Crandall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1407073687 | NPPES |
| New Mexico | MEDICAID | 98107071 | |
| New Mexico | Other | MD2012-0310 |
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