Johnson, Craig M

Johnson, Craig M is an individual health care provider with primary practice located at 6535 Nemours Parkway Nch, Orlando FL 33282-7884. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is his primary health care specialty. Johnson, Craig M can be contacted via phone (407) 567-4000.

Contact Information

Primary practice address
6535 Nemours Parkway Nch Orlando FL 33282-7884
Phone: (407) 567-4000
Fax: (407) 567-5924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X C20010119 Delaware
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 53505 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 235491 Massachusetts
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X OS11789 Florida
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X OS11789 Florida

Profile Details

NPI number 1992910301
LBN Legal business name Johnson, Craig M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated Sep 17th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992910301 NPPES
Florida MEDICAID 006252800

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