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Contact Information

BRUCE JOHNSON
7493 E DANUBE LOOP
NEW KENT, VA23124-2636
 Phone: 804-943-8735
 Fax: 804-932-0010
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Home Administrator

376G00000X
Indicates primary specialty

NPI Profile & details for BRUCE JOHNSON · (Male)

NPI Number 1114717733
Status Active
Credentials
Entity Individual
Enumeration date 05/07/2025
Last updated 05/12/2025 - More than a year ago
Sole proprietor 1 No
Identifiers Not Available
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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