Johnson, John
Johnson, John is an individual health care provider with primary practice located at 1515 9Th St W , Palmetto FL 34221-4463. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Johnson, John can be contacted via phone (941) 981-5643.Contact Information
Primary practice address
1515 9Th St W
Palmetto FL 34221-4463
Phone: (941) 981-5643
Fax: (941) 981-5644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME23667 | Florida |
Profile Details
| NPI number | 1295763456 |
|---|---|
| LBN Legal business name | Johnson, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Sep 20th, 2012 - about 12 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 | 1295763456 | NPPES |
| Florida | MEDICAID | 001643100 | |
| Florida | Other | 110229746 |
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