Johnson, Glenn T.

Johnson, Glenn T. is an individual health care provider with primary practice located at 225 Crosslake Dr , Evansville IN 47715-8198. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Johnson, Glenn T. can be contacted via phone (812) 477-1558.

Contact Information

Primary practice address
225 Crosslake Dr Evansville IN 47715-8198
Phone: (812) 477-1558
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 1048654 Indiana
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 1048654 Indiana

Profile Details

NPI number 1689672206
LBN Legal business name Johnson, Glenn T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jun 23rd, 2017 - about 7 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 1689672206 NPPES
Indiana MEDICAID 200238020A

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