Johnson, Bruce G

Johnson, Bruce G is an individual health care provider with primary practice located at 36123 Schoolcraft Rd , Livonia MI 48150. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Johnson, Bruce G can be contacted via phone (734) 464-0887.

Contact Information

Primary practice address
36123 Schoolcraft Rd Livonia MI 48150
Phone: (734) 464-0887
Fax: (734) 402-0254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 007447 Michigan

Profile Details

NPI number 1245236215
LBN Legal business name Johnson, Bruce G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Aug 28th, 2018 - about 8 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 1245236215 NPPES
Michigan MEDICAID 2643592
Michigan MEDICAID 2608252
Michigan MEDICAID 2832400

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