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Contact Information

GLENN D JOHNSON, MD
DARTMOUTH-HITCHCOCK MEDICAL CENTER
ONE MEDICAL CENTER DRIVE
LEBANON, NH03756-0001
 Phone: 603-650-8124
 Fax: 603-650-7898
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otology & Neurotology

207YX0901X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for GLENN D JOHNSON · (Male)

NPI Number 1063441434
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NH License # 6028
  • NH Medicaid 00000094
  • VT Medicaid 0006900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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