Johnson, Richard E
Johnson, Richard E is an sole proprietor health care provider with primary practice located at 90 Beaver Dr Ste 122-D, Du Bois PA 15801-2440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Johnson, Richard E can be contacted via phone (814) 375-4466.Contact Information
Primary practice address
90 Beaver Dr Ste 122-D
Du Bois PA 15801-2440
Phone: (814) 375-4466
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | OS006605L | Pennsylvania |
Profile Details
| NPI number | 1568447969 |
|---|---|
| LBN Legal business name | Johnson, Richard E |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2005 |
| Last updated | Apr 18th, 2014 - about 12 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 | 1568447969 | NPPES |
| Pennsylvania | MEDICAID | 1174971 |
Popular Providers
-
Rosenfeld, Thomas Lee
5 Neponset St , Worcester MA 01606-2714 -
John, Michael D
620 W 15Th St , Edmond OK 73013-3617 -
Tart, David E.
5704 Hidden Orchard Dr , Greensboro NC 27410-2523 -
Kittay, Stuart A
16 Hospital Ave Ste 302, Danbury CT 06810-5994 -
Payne, Amy Ruth
107 Haywood Park Dr , Clyde NC 28721 -
Gette, Michael T
2201 Forest Hills Dr , Harrisburg PA 17112-1089 -
Albregts, Anthony E
640 W Moana Ln , Reno NV 89509-4997 -
Biren, Catherine A
1324 Nelson Ave Ste B, Modesto CA 95350-5341