| Doctor Name: | DR. DAVID E JOHNSEN |
| NPI Number: | 1215955976 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 0101046138 |
| Business Practice Address: | 800 Oak Street Farmville, VA - 239011199 |
| Business Phone Number: | 4343152998 |
| Business Fax Number: | 4343928191 |
| Mailing Address: | Po Box 927, 5 E. Alvon Road, Suite 7 WHITE SULPHUR SPRINGS |
| State: | WV |
| Postal Code: | 249862373 |
| Phone Number: | 3045385030 |
| Fax Number: | 3045365031 |
| NPI Enumeration Date: | 07/18/2006 |
| NPI Last Update Date: | 10/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 0101046138 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |