Johnson, Glen Eric

Johnson, Glen Eric is an individual health care provider with primary practice located at 3940 West 4100 South , West Valley City UT 84120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Johnson, Glen Eric can be contacted via phone (801) 966-3700.

Contact Information

Primary practice address
3940 West 4100 South West Valley City UT 84120
Phone: (801) 966-3700
Fax: (801) 966-9421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 1547641205 Utah

Profile Details

NPI number 1326157298
LBN Legal business name Johnson, Glen Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jan 5th, 2011 - about 15 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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