Johnson, Jeffrey A
Johnson, Jeffrey A is an sole proprietor health care provider with primary practice located at 2525 Fox Run Pkwy Ste 200, Yankton SD 57078-5370. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Jeffrey A can be contacted via phone (605) 260-2100.Contact Information
Primary practice address
2525 Fox Run Pkwy Ste 200
Yankton SD 57078-5370
Phone: (605) 260-2100
Fax: (605) 260-2104
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4647 | South Dakota |
Profile Details
| NPI number | 1750360202 |
|---|---|
| LBN Legal business name | Johnson, Jeffrey A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Mar 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750360202 | NPPES |
| South Dakota | MEDICAID | 5609960 |
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