Johnson, John Clifford
Johnson, John Clifford is an individual health care provider with primary practice located at 110 Med Tech Pkwy Suite 1, Johnson City TN 37604-4004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Johnson, John Clifford can be contacted via phone (423) 929-2111.Contact Information
Primary practice address
110 Med Tech Pkwy Suite 1
Johnson City TN 37604-4004
Phone: (423) 929-2111
Fax: (423) 929-0497
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD6474 | Tennessee |
Profile Details
| NPI number | 1043268220 |
|---|---|
| LBN Legal business name | Johnson, John Clifford |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jul 6th, 2024 - 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 | 1043268220 | NPPES |
| Tennessee | Other | 180042546 | RAILROAD MEDICARE |
| Tennessee | Other | 180016463 | RAILROAD MEDICARE |
| Tennessee | MEDICAID | 3173347 | RAILROAD MEDICARE |
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