Johnson, Millard E.
Johnson, Millard E. is an individual health care provider with primary practice located at 1510 Florida Ave Suite F, Modesto CA 95350-4437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Johnson, Millard E. can be contacted via phone (209) 549-7090.Contact Information
Primary practice address
1510 Florida Ave Suite F
Modesto CA 95350-4437
Phone: (209) 549-7090
Fax: (209) 549-7099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A62787 | California |
Profile Details
| NPI number | 1730162892 |
|---|---|
| LBN Legal business name | Johnson, Millard E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Mar 7th, 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 | 1730162892 | NPPES |
| California | Other | 061924 | BOARD CERT # |
| California | Other | 00A627870 | BOARD CERT # |
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