Johnson, Douglas J

Johnson, Douglas J is an sole proprietor health care provider with primary practice located at 1777 Ashley Cir , Bowling Green KY 42104-3339. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Johnson, Douglas J can be contacted via phone (270) 781-4090.

Contact Information

Primary practice address
1777 Ashley Cir Bowling Green KY 42104-3339
Phone: (270) 781-4090
Fax: (270) 842-3133
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29380 Kentucky
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 29380 Kentucky

Profile Details

NPI number 1982671855
LBN Legal business name Johnson, Douglas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2006
Last updated Jun 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982671855 NPPES
Kentucky Other 000000259189 ANTHEM BC & BS
Kentucky MEDICAID 64293806 ANTHEM BC & BS
Kentucky MEDICAID 50002852 ANTHEM BC & BS

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