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
Health care specialties
Specialty | Code | License # | 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 last year |
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 | 1700823085 | NPPES |
North Carolina | MEDICAID | 89137X6 |
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