Johnson, Ian Gerard
Johnson, Ian Gerard is an sole proprietor health care provider with primary practice located at 1153 Centre St , Jamaica Plain MA 02130-3446. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Psychiatry, which is considered as his primary health care specialty. Johnson, Ian Gerard can be contacted via phone (617) 983-7474.Contact Information
Primary practice address
1153 Centre St
Jamaica Plain MA 02130-3446
Phone: (617) 983-7474
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | 1015490 | Massachusetts |
Profile Details
| NPI number | 1942763115 |
|---|---|
| LBN Legal business name | Johnson, Ian Gerard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2019 |
| Last updated | Jul 8th, 2024 - about 2 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.
Popular Providers
-
Holiner, Joel A
7777 Forest Ln Ste C833, Dallas TX 75230-2591 -
Cardona, Emilio Rene
7515 Main St Ste 600, Houston TX 77030-4515 -
Chatlos, John Calvin
973 Holmdel Rd , Holmdel NJ 07733-2124 -
Goldman, Neil S.
235 W 48Th St Apt 26H, New York NY 10036-1404 -
Hayes, Timothy Joseph
1301 20Th St Ste 210, Santa Monica CA 90404-2088 -
Kranzler, Henry R
3900 Chestnut St , Philadelphia PA 19104-3120 -
Passman, Terry Elliot
208 Greeno Rd N Ste D2 , Fairhope AL 36532-3057 -
Ducomb, Laurence Evans
49 Robinwood Ave The Arbour Hospital, Jamaica Plain MA 02130