Johnson, Frederick

Johnson, Frederick is an sole proprietor health care provider with primary practice located at 1200 College Dr , Rock Springs WY 82901-5868. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Johnson, Frederick can be contacted via phone (307) 352-8350.

Contact Information

Primary practice address
1200 College Dr Rock Springs WY 82901-5868
Phone: (307) 352-8350
Fax: (307) 352-8178
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01028913 Indiana

Profile Details

NPI number 1891780029
LBN Legal business name Johnson, Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2005
Last updated May 7th, 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 1891780029 NPPES
Indiana MEDICAID 100345950
Indiana Other 314470
Indiana Other 605960009
Indiana MEDICAID 123610500

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