Johnson, Brent Mitchell
Johnson, Brent Mitchell is an individual health care provider with primary practice located at 2331 Franklin Rd Sw , Roanoke VA 24014-1111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Johnson, Brent Mitchell can be contacted via phone (540) 725-1226.Contact Information
Primary practice address
2331 Franklin Rd Sw
Roanoke VA 24014-1111
Phone: (540) 725-1226
Fax: (540) 857-5306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 0101043592 | Virginia |
Profile Details
| NPI number | 1679550933 |
|---|---|
| LBN Legal business name | Johnson, Brent Mitchell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Mar 29th, 2016 - about 9 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 | 1679550933 | NPPES |
| Virginia | Other | 1679550933 | AETNA |
| Virginia | Other | 1679550933 | AETNA |
| Virginia | MEDICAID | 1679550933 | AETNA |
| Virginia | Other | 3810018723 | AETNA |
| Virginia | Other | P00831109 | AETNA |
| Virginia | Other | 1679550933 | AETNA |
| Virginia | Other | 540506332005 | AETNA |
| Virginia | Other | 1679550933 | AETNA |
| Virginia | Other | 1679550933 | AETNA |
| Virginia | Other | 1679550933 | AETNA |
| Virginia | Other | 1679550933 | AETNA |
| Virginia | Other | 1679550933 | AETNA |
| Virginia | Other | 1679550933 | AETNA |
| Virginia | Other | 1679550933 | AETNA |
| Virginia | Other | 1679550933 | AETNA |
| Virginia | Other | 1679550933 | AETNA |
| Virginia | Other | 1679550933 | AETNA |
| Virginia | Other | 1679550933 | AETNA |
| Virginia | Other | 371194700 | AETNA |
| Virginia | Other | 1679550933 | AETNA |
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