Johnson, Jeremy Scott

Johnson, Jeremy Scott is an individual health care provider with primary practice located at 611 W. Park St. Ob/Gyn, Urbana IL 61801-2500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Johnson, Jeremy Scott can be contacted via phone (217) 383-3140.

Contact Information

Primary practice address
611 W. Park St. Ob/Gyn Urbana IL 61801-2500
Phone: (217) 383-3140
Fax: (217) 383-4966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 20869 Oklahoma
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD2007-0689 New Mexico
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036136882 Illinois

Profile Details

NPI number 1548249097
LBN Legal business name Johnson, Jeremy Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Apr 21st, 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 1548249097 NPPES
New Mexico MEDICAID 37881582

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