Crozier, Gordon Johnson
Crozier, Gordon Johnson is an sole proprietor health care provider with primary practice located at 1307 S International Pkwy Suite 2071, Lake Mary FL 32746-1413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Crozier, Gordon Johnson can be contacted via phone (606) 776-7707.Contact Information
Primary practice address
1307 S International Pkwy Suite 2071
Lake Mary FL 32746-1413
Phone: (606) 776-7707
Fax: (407) 732-7669
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | OS11510 | Florida |
Profile Details
| NPI number | 1265529200 |
|---|---|
| LBN Legal business name | Crozier, Gordon Johnson |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265529200 | NPPES |
| Tennessee | Other | DO0000001336 | LICENSE |
| Tennessee | Other | 582636039 | LICENSE |
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