David Jackson Johnson, | |
862 S Main St Ste 2, Brigham City, UT 84302-3300 | |
(435) 723-1799 | |
Not Available |
Full Name | David Jackson Johnson |
---|---|
Gender | Male |
Speciality | Counselor |
Location | 862 S Main St Ste 2, Brigham City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710377585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Wake Forest University Health Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
Mailing Address | Practice Location Address |
---|---|
David Jackson Johnson, 862 S Main St Ste 2, Brigham City, UT 84302-3300 Ph: (435) 723-1799 | David Jackson Johnson, 862 S Main St Ste 2, Brigham City, UT 84302-3300 Ph: (435) 723-1799 |
Matthew Lamar Huff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 82 S 800 W, Brigham City, UT 84302 Phone: 435-723-8548 Fax: 435-538-5066 | |
Shanua Buck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 82 S 800 W, Brigham City, UT 84302 Phone: 435-723-8548 | |
Alexandra Rosales, Counselor Medicare: Not Enrolled in Medicare Practice Location: 971 S 800 W, Brigham City, UT 84302 Phone: 435-239-8445 | |
Tein Daniel Hawke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 862 S Main Suite 4, Brigham City, UT 84302 Phone: 435-723-1799 | |
Jesus Franco, Counselor Medicare: Not Enrolled in Medicare Practice Location: 82 S 800 W, Brigham City, UT 84302 Phone: 435-723-8548 | |
Esmeralda Gil, Counselor Medicare: Not Enrolled in Medicare Practice Location: 971 S 800 W, Brigham City, UT 84302 Phone: 435-239-8445 | |
William Miller I, Counselor Medicare: Not Enrolled in Medicare Practice Location: 862 S Main Suite 4, Brigham City, UT 84302 Phone: 435-723-1799 |