Johnson, Abiodun

Johnson, Abiodun is an individual health care provider with primary practice located at 1400 S Coulter St , Amarillo TX 79106-1786. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Johnson, Abiodun can be contacted via phone (806) 414-9800.

Contact Information

Primary practice address
1400 S Coulter St Amarillo TX 79106-1786
Phone: (806) 414-9800
Fax: (806) 354-5689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X K9813 Texas

Profile Details

NPI number 1457383523
LBN Legal business name Johnson, Abiodun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Dec 5th, 2014 - about 11 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 1457383523 NPPES
Texas MEDICAID 111735001
Texas MEDICAID 100216060A
Texas MEDICAID 111735002
Texas MEDICAID L6308

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