Johnson, Richard W

Johnson, Richard W is an individual health care provider with primary practice located at 1006 Robertson St Ste 104, Fort Collins CO 80524-3948. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Johnson, Richard W can be contacted via phone (970) 484-9027.

Contact Information

Primary practice address
1006 Robertson St Ste 104 Fort Collins CO 80524-3948
Phone: (970) 484-9027
Fax: (970) 484-2283
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19654 Colorado

Profile Details

NPI number 1891797171
LBN Legal business name Johnson, Richard W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jul 8th, 2007 - about 18 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 1891797171 NPPES
Colorado MEDICAID 01196542

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