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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 10 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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