Johnson, C Stephen
Johnson, C Stephen is an sole proprietor health care provider with primary practice located at 2551 San Ramon Valley Blv Ste 101, San Ramon CA 94583-1661. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Johnson, C Stephen can be contacted via phone (925) 743-1222.Contact Information
Primary practice address
2551 San Ramon Valley Blv Ste 101
San Ramon CA 94583-1661
Phone: (925) 743-1222
Fax: (925) 743-1221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5287T | California |
Profile Details
| NPI number | 1902804875 |
|---|---|
| LBN Legal business name | Johnson, C Stephen |
| Credentials | OD FAAO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Oct 14th, 2008 - about 18 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 | 1902804875 | NPPES |
| California | Other | P00175769 | RAILROAD MEDICARE PIN# |
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