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Contact Information

DAVID P JOHNSON, PA
165 POPLAR STREET
SUITE #1
MILLINOCKET, ME04462
 Phone: 207-723-2034
 Fax: 207-723-3006
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DAVID P JOHNSON · (Male)

NPI # 1053550350
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 02/10/2009
Last updated 09/10/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • ME License # PA1157
Hospital affiliation(s)
  • MILLINOCKET REGIONAL HOSPITAL - (Critical Access)
    200 SOMERSET STREET
    MILLINOCKET, ME 04462
  • PENOBSCOT VALLEY HOSPITAL - (Critical Access)
    7 TRANSALPINE ROAD, PO BOX 368
    LINCOLN, ME 04457
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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