Johnson, Frederick B
Johnson, Frederick B is an individual health care provider with primary practice located at 3400 Spruce St , Philadelphia PA 19104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Johnson, Frederick B can be contacted via phone (215) 662-6503.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | MD074014L | Pennsylvania |
Profile Details
| NPI number | 1962446872 |
|---|---|
| LBN Legal business name | Johnson, Frederick B |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Feb 23rd, 2011 - about 14 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 | 1962446872 | NPPES |
| Pennsylvania | MEDICAID | 0018799200001 |
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