Johnson, Jeffrey David
Johnson, Jeffrey David is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-1521. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Johnson, Jeffrey David can be contacted via phone (352) 273-5199.Contact Information
Primary practice address
1600 Sw Archer Rd
Gainesville FL 32610-1521
Phone: (352) 273-5199
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | ME150300 | Florida |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1942695416 |
|---|---|
| LBN Legal business name | Johnson, Jeffrey David |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2015 |
| Last updated | Jan 3rd, 2023 - about 3 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 | 1942695416 | NPPES |
| Florida | MEDICAID | 110611200 |
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