Johnson, Keith Patrick
Johnson, Keith Patrick is an individual health care provider with primary practice located at 85 Harristown Road Suite 103, Glen Rock NJ 07452. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Johnson, Keith Patrick can be contacted via phone (844) 366-8800.Contact Information
Primary practice address
85 Harristown Road Suite 103
Glen Rock NJ 07452
Phone: (844) 366-8800
Fax: (844) 366-8900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25MA07819000 | New Jersey |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 25MA07819000 | New Jersey |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 25MA07819000 | New Jersey |
Profile Details
| NPI number | 1487616967 |
|---|---|
| LBN Legal business name | Johnson, Keith Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Jan 19th, 2016 - about 10 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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