Johnson, Jeffery Alan
Johnson, Jeffery Alan is an individual health care provider with primary practice located at 92 W Miller St 8Th Floor, Orlando FL 32806-2032. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Pediatric Nephrology is his primary health care specialty. Johnson, Jeffery Alan can be contacted via phone (321) 841-7970.Contact Information
Primary practice address
92 W Miller St 8Th Floor
Orlando FL 32806-2032
Phone: (321) 841-7970
Fax: (321) 841-7978
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A81750 | California |
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | ME119884 | Florida |
Profile Details
| NPI number | 1134181647 |
|---|---|
| LBN Legal business name | Johnson, Jeffery Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Nov 15th, 2016 - about 8 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 | 1134181647 | NPPES |
| Other | 00A81750 | BLUE SHIELD | |
| Other | ME119884 | BLUE SHIELD | |
| MEDICAID | 011160500 | BLUE SHIELD |
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