Irvin, William Johnson

Irvin, William Johnson is an individual health care provider with primary practice located at 14051 St Francis Blvd Suite 2210, Midlothian VA 23114-3201. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Irvin, William Johnson can be contacted via phone (804) 893-8717.

Contact Information

Primary practice address
14051 St Francis Blvd Suite 2210 Midlothian VA 23114-3201
Phone: (804) 893-8717
Fax: (804) 594-3131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 2006-00276 North Carolina
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 2006-00276 North Carolina
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 0101251920 Virginia

Profile Details

NPI number 1700903242
LBN Legal business name Irvin, William Johnson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Jul 5th, 2012 - about 13 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700903242 NPPES
Virginia Other C09633 GROUP PTAN

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