Johnson, Ian James

Johnson, Ian James is an individual health care provider with primary practice located at 1907 Highway 44 W , Inverness FL 34453-3801. 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, Ian James can be contacted via phone (352) 344-2273.

Contact Information

Primary practice address
1907 Highway 44 W Inverness FL 34453-3801
Phone: (352) 344-2273
Fax: (352) 344-2204
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9110730 Florida

Profile Details

NPI number 1245741420
LBN Legal business name Johnson, Ian James
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2017
Last updated Apr 9th, 2021 - about 3 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 1245741420 NPPES
Florida Other PA1132854 PROFESSIONAL LICENSE

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