Johnson, Adeyemi S

Johnson, Adeyemi S is an individual health care provider with primary practice located at 1718 E 4Th St Ste 501, Charlotte NC 28204-3260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Johnson, Adeyemi S can be contacted via phone (704) 343-9800.

Contact Information

Primary practice address
1718 E 4Th St Ste 501 Charlotte NC 28204-3260
Phone: (704) 343-9800
Fax: (704) 887-7570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35671 North Carolina

Profile Details

NPI number 1700884046
LBN Legal business name Johnson, Adeyemi S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Dec 17th, 2007 - about 18 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 1700884046 NPPES
North Carolina MEDICAID 8946421
North Carolina MEDICAID N35671

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