Johnson, Antoine D
Johnson, Antoine D is an individual health care provider with primary practice located at 105 W. 4Th Street , Aberdeen WA 98520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Antoine D can be contacted via phone (360) 538-7292.Contact Information
Primary practice address
105 W. 4Th Street
Aberdeen WA 98520
Phone: (360) 538-7292
Fax: (360) 533-7135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00039048 | Washington |
Profile Details
| NPI number | 1639136294 |
|---|---|
| LBN Legal business name | Johnson, Antoine D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1639136294 | NPPES |
| Washington | MEDICAID | 8270787 |
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