Johnson, Derrick E.
Johnson, Derrick E. is an sole proprietor health care provider with primary practice located at 7277 Smiths Mill Rd #250, New Albany OH 43054-8195. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Johnson, Derrick E. can be contacted via phone (614) 464-0162.Contact Information
Primary practice address
7277 Smiths Mill Rd #250
New Albany OH 43054-8195
Phone: (614) 464-0162
Fax: (614) 464-0157
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35-089645 | Ohio |
Profile Details
NPI number | 1891983623 |
---|---|
LBN Legal business name | Johnson, Derrick E. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 5th, 2007 |
Last updated | Jul 21st, 2023 - 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 | 1891983623 | NPPES |
Ohio | MEDICAID | 2855661 | |
Ohio | Other | 1891983623 | |
Ohio | Other | JO7378991 |
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