Brian A Johnson Md

LBN: Brian A Johnson Md Pc
Brian A Johnson Md is an health care organization with primary practice located at 613 Terrace Dr , Winamac IN 46996-1111. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Brian A Johnson Md Pc can be contacted via phone (574) 946-6644, or through Shackelford, Direndia via phone (800) 654-0889.

Contact Information

Primary practice address
613 Terrace Dr Winamac IN 46996-1111
Phone: (574) 946-6644
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shackelford, Direndia
Phone: (800) 654-0889

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X 5003424A Indiana

Profile Details

NPI number 1467535799
LBN Legal business name Brian A Johnson Md Pc
DBA Doing business as Brian A Johnson Md
Authorized official Shackelford, Direndia
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Jun 20th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467535799 NPPES
Other 1535561 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 100210710 OTHER ID NUMBER-COMMERCIAL NUMBER

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