Johnson, Ryan Douglas
Johnson, Ryan Douglas is an individual health care provider with primary practice located at 1840 Woodmoor Dr Ste 102 , Monument CO 80132-9083. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Ryan Douglas can be contacted via phone (719) 622-6522.Contact Information
Primary practice address
1840 Woodmoor Dr Ste 102
Monument CO 80132-9083
Phone: (719) 622-6522
Fax: (719) 622-6520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DR.0057733 | Colorado |
Profile Details
| NPI number | 1184623878 |
|---|---|
| LBN Legal business name | Johnson, Ryan Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Jan 24th, 2024 - about 2 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 | 1184623878 | NPPES |
| Texas | MEDICAID | 153159201 |
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