Johnson, John Alden
Johnson, John Alden is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Johnson, John Alden can be contacted via phone (601) 268-5660.Contact Information
Primary practice address
415 S 28Th Ave
Hattiesburg MS 39401-7246
Phone: (601) 268-5660
Fax: (601) 268-5759
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | R4429 | Arkansas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 12130 | Mississippi |
Profile Details
| NPI number | 1902860372 |
|---|---|
| LBN Legal business name | Johnson, John Alden |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Aug 3rd, 2020 - about 4 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 | 1902860372 | NPPES |
| Mississippi | Other | 4344773 | CIGNA |
| Mississippi | Other | 6027328 | CIGNA |
| Mississippi | MEDICAID | 04431870 | CIGNA |
| Mississippi | MEDICAID | 123146001 | CIGNA |
| Mississippi | Other | 4594666 | CIGNA |
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