Johnson, Samuel Elan

Johnson, Samuel Elan is an individual health care provider with primary practice located at 3 Medical Plaza Dr Suite 140, Roseville CA 95661-3087. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Johnson, Samuel Elan can be contacted via phone (916) 865-1400.

Contact Information

Primary practice address
3 Medical Plaza Dr Suite 140 Roseville CA 95661-3087
Phone: (916) 865-1400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 20A6457 California

Profile Details

NPI number 1326162991
LBN Legal business name Johnson, Samuel Elan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Feb 10th, 2017 - about 9 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 1326162991 NPPES
Other 20A6457 OSTEOPATHIC MEDICAL LIC.

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