Johnson, Anthony T
Johnson, Anthony T is an individual health care provider with primary practice located at 102 Mandan Ave , Mandan ND 58554-3771. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Anthony T can be contacted via phone (701) 667-5000.Contact Information
Primary practice address
102 Mandan Ave
Mandan ND 58554-3771
Phone: (701) 667-5000
Fax: (701) 323-5709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 7321 | North Dakota |
Profile Details
| NPI number | 1912918772 |
|---|---|
| LBN Legal business name | Johnson, Anthony T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Sep 11th, 2007 - about 17 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 | 1912918772 | NPPES |
| North Dakota | MEDICAID | 18610 |
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