Johnson, John H

Johnson, John H is an sole proprietor health care provider with primary practice located at 30 Mallard Court , Beckley WV 25801-3140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Johnson, John H can be contacted via phone (304) 255-0800.

Contact Information

Primary practice address
30 Mallard Court Beckley WV 25801-3140
Fax: (304) 255-1040
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20381 West Virginia

Profile Details

NPI number 1922003318
LBN Legal business name Johnson, John H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2005
Last updated Jan 28th, 2010 - about 15 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 1922003318 NPPES
West Virginia MEDICAID 3002516001
West Virginia Other 562370581001
West Virginia MEDICAID 010056306
West Virginia Other 562370581
West Virginia Other 7663338
West Virginia Other 141518

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