Johnson, Gregory Wallace

Johnson, Gregory Wallace is an sole proprietor health care provider with primary practice located at 769 W 1900 S , Woods Cross UT 84087-1720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Johnson, Gregory Wallace can be contacted via phone (801) 706-8132.

Contact Information

Primary practice address
769 W 1900 S Woods Cross UT 84087-1720
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 380908-5401 Utah

Profile Details

NPI number 1558877134
LBN Legal business name Johnson, Gregory Wallace
Credentials Radiologic Technologist (RT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2017
Last updated Dec 19th, 2017 - about 9 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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