Johnson, Eric R
Johnson, Eric R is an sole proprietor health care provider with primary practice located at 2801 Osler Dr #120, Grand Prairie TX 75051. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Johnson, Eric R can be contacted via phone (972) 647-8404.Contact Information
Primary practice address
2801 Osler Dr #120
Grand Prairie TX 75051
Phone: (972) 647-8404
Fax: (972) 641-8398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | E6441 | Texas |
Profile Details
| NPI number | 1518937705 |
|---|---|
| LBN Legal business name | Johnson, Eric R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Feb 8th, 2010 - about 16 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 | 1518937705 | NPPES |
| Texas | MEDICAID | 126321203 |
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