Johnson, James W

Johnson, James W is an sole proprietor health care provider with primary practice located at 5180 Park Ave Suite 250, Memphis TN 38119. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Johnson, James W can be contacted via phone (901) 753-3766.

Contact Information

Primary practice address
5180 Park Ave Suite 250 Memphis TN 38119
Phone: (901) 753-3766
Fax: (901) 759-1184
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD0000011485 Tennessee
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 17134 Mississippi
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD0000011485 Tennessee
Allopathic & Osteopathic Physicians / General Practice 208D00000X 17134 Mississippi

Profile Details

NPI number 1295753762
LBN Legal business name Johnson, James W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Jan 29th, 2015 - 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 1295753762 NPPES
Other 00000027474 TLC
Other 4073290 TLC
Other 000000145000 TLC
Other 2621395 TLC
MEDICAID 3888243 TLC
MEDICAID 00124492 TLC
Other P00180320 TLC
MEDICAID 09015804 TLC

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