Johnson, Jeremy Clyde

Johnson, Jeremy Clyde is an individual health care provider with primary practice located at 214 18Th St Se , Hickory NC 28602-1363. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Johnson, Jeremy Clyde can be contacted via phone (704) 323-2000.

Contact Information

Primary practice address
214 18Th St Se Hickory NC 28602-1363
Phone: (704) 323-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 9901552 North Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 9901552 North Carolina

Profile Details

NPI number 1700823085
LBN Legal business name Johnson, Jeremy Clyde
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Mar 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700823085 NPPES
North Carolina MEDICAID 89137X6

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