Johnson, Douglas E

Johnson, Douglas E is an individual health care provider with primary practice located at 1230 S Cedar Crest Blvd Suite 301, Allentown PA 18103-6212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Johnson, Douglas E can be contacted via phone (610) 432-4529.

Contact Information

Primary practice address
1230 S Cedar Crest Blvd Suite 301 Allentown PA 18103-6212
Fax: (610) 432-2206
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD023199E Pennsylvania

Profile Details

NPI number 1033100623
LBN Legal business name Johnson, Douglas E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Feb 20th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033100623 NPPES
Pennsylvania MEDICAID 0687874

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