Johnson, Derrick M
Johnson, Derrick M is an sole proprietor health care provider with primary practice located at 454 Taylor Rd , Montgomery AL 36117-3563. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Johnson, Derrick M can be contacted via phone (334) 613-9000.Contact Information
Primary practice address
454 Taylor Rd
Montgomery AL 36117-3563
Phone: (334) 613-9000
Fax: (334) 532-0056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 162 | Alabama |
Profile Details
| NPI number | 1588784565 |
|---|---|
| LBN Legal business name | Johnson, Derrick M |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2007 |
| Last updated | Jan 10th, 2014 - about 12 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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