Johnson, Kurt E

Johnson, Kurt E is an individual health care provider with primary practice located at 1040 Mangrove Ave , Chico CA 95926-3509. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Johnson, Kurt E can be contacted via phone (530) 345-0064.

Contact Information

Primary practice address
1040 Mangrove Ave Chico CA 95926-3509
Phone: (530) 345-0064
Fax: (530) 345-0080
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X G59768 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G59768 California

Profile Details

NPI number 1407881741
LBN Legal business name Johnson, Kurt E
Credentials M.D., INC.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Apr 12th, 2013 - about 13 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 1407881741 NPPES
California MEDICAID 00G597680

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