Johnson, Steven Paul

Johnson, Steven Paul is an individual health care provider with primary practice located at 4 Shaws Cv Ste 103, New London CT 06320-4956. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Steven Paul can be contacted via phone (860) 443-3778.

Contact Information

Primary practice address
4 Shaws Cv Ste 103 New London CT 06320-4956
Fax: (860) 443-8820
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27140 Connecticut

Profile Details

NPI number 1902801434
LBN Legal business name Johnson, Steven Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jul 8th, 2007 - about 15 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 1902801434 NPPES
Connecticut MEDICAID 004071320

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