Johnson, Joseph Kevin

Johnson, Joseph Kevin is an individual health care provider with primary practice located at 999 S Fairmont Ave Ste 130 , Lodi CA 95240-5141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Johnson, Joseph Kevin can be contacted via phone (209) 366-2001.

Contact Information

Primary practice address
999 S Fairmont Ave Ste 130 Lodi CA 95240-5141
Phone: (209) 366-2001
Fax: (209) 366-2024
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36524 Colorado

Profile Details

NPI number 1194906107
LBN Legal business name Johnson, Joseph Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2007
Last updated Dec 6th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194906107 NPPES
Colorado MEDICAID 01365246
Colorado Other 841541697
Colorado Other 841541697
Colorado Other DD7190

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