Johnson, Diane Lee
Johnson, Diane Lee is an individual health care provider with primary practice located at 2367 Colony Crossing Pl , Midlothian VA 23112-4280. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnson, Diane Lee can be contacted via phone (804) 323-1264.Contact Information
Primary practice address
2367 Colony Crossing Pl
Midlothian VA 23112-4280
Phone: (804) 323-1264
Fax: (804) 323-1276
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101058870 | Virginia |
Profile Details
| NPI number | 1306839550 |
|---|---|
| LBN Legal business name | Johnson, Diane Lee |
| Credentials | M.D., A.A.F.P. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Aug 3rd, 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 | 1306839550 | NPPES |
| Other | VVF389A | MEDICARE PTAN |
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