Johnson, Anton
Johnson, Anton is an individual health care provider with primary practice located at 800 E Carpenter St Department Of Radiology, Springfield IL 62702-5324. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Nuclear Medicine is his primary health care specialty. Johnson, Anton can be contacted via phone (217) 544-6464.Contact Information
Primary practice address
800 E Carpenter St Department Of Radiology
Springfield IL 62702-5324
Phone: (217) 544-6464
Fax: (217) 525-5671
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036-095564 | Illinois |
Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | 036095564 | Illinois |
Profile Details
NPI number | 1215040209 |
---|---|
LBN Legal business name | Johnson, Anton |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 16th, 2006 |
Last updated | Jan 3rd, 2024 - about last year |
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 | 1215040209 | NPPES |
Illinois | Other | 300076409 | RR MEDICARE |
Illinois | Other | 300073513 | RR MEDICARE |
Illinois | MEDICAID | 36095564 | RR MEDICARE |
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