Johnson, Andre H
Johnson, Andre H is an individual health care provider with primary practice located at 14 Hudson Ave , Glens Falls NY 12801-4448. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Johnson, Andre H can be contacted via phone (518) 926-5600.Contact Information
Primary practice address
14 Hudson Ave
Glens Falls NY 12801-4448
Phone: (518) 926-5600
Fax: (518) 926-5605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 243460 | New York |
Profile Details
| NPI number | 1861616922 |
|---|---|
| LBN Legal business name | Johnson, Andre H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Aug 30th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861616922 | NPPES |
| New York | MEDICAID | 02898593 | |
| New York | Other | 243460-3W |
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