Johnson, Jason Douglas
Johnson, Jason Douglas is an individual health care provider with primary practice located at 3278 Mitchell Blvd , Moody Afb GA 31699-1500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Jason Douglas can be contacted via phone (229) 257-2778.Contact Information
Primary practice address
3278 Mitchell Blvd
Moody Afb GA 31699-1500
Phone: (229) 257-2778
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 6679 | Oklahoma |
Profile Details
| NPI number | 1073044343 |
|---|---|
| LBN Legal business name | Johnson, Jason Douglas |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2017 |
| Last updated | Jul 26th, 2023 - about 2 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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