Dr. Barry Duane Johnson
Neurologist Neuromusculoskeletal Medicine (NMM)
1100 S Carpenter Ave
Kingsford
, Michigan 49802-5518
Dr. Barry Duane Johnson
Neurologist Neuromusculoskeletal Medicine (NMM)
1100 S Carpenter Ave
Kingsford
, Michigan 49802-5518
(906) 776-5639
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- Neurologist
Languages spoken
- English
Location
First Address
- Dr. Barry Duane Johnson
- Po Box 549
- Iron Mountain, MI
- Zip : 49801-0549
- Fax : (906) 776-5639
- Phone : (906) 774-1313
Second Address
- Dr. Barry Duane Johnson
- 1100 S Carpenter Ave
- Kingsford, MI
- Zip : 49802-5518
- Fax : (906) 228-0203
- Phone : (906) 776-5480
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 4301042058 | MI |
| N | 2084N0400X | Neurologist | 4301042058 | MI |
National Provider Identifier
| NPI | 1265515977 |
|---|---|
| Provider Name | Dr. Barry Duane Johnson |
| First Address | Iron Mountain, MI 49801-0549 |
| Second Address | Kingsford, MI 49802-5518 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/10/2006 |
| Last Update Date | 19/06/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1302200421 | BCBS MI (01) | MI |
| 30305300 | (05) | WI |
| 3463356 10 | (05) | MI |
| A94477 | (02) | MI |
| P00626141 | RR MEDICARE (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.