Johnson, John Kim
Johnson, John Kim is an individual health care provider with primary practice located at 200 Patewood Dr Suite B260, Greenville SC 29615-3593. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Johnson, John Kim can be contacted via phone (864) 454-4600.Contact Information
Primary practice address
200 Patewood Dr Suite B260
Greenville SC 29615-3593
Phone: (864) 454-4600
Fax: (864) 464-4605
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 12867 | South Carolina |
Profile Details
NPI number | 1508861345 |
---|---|
LBN Legal business name | Johnson, John Kim |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 17th, 2005 |
Last updated | May 9th, 2011 - about 13 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 | 1508861345 | NPPES |
South Carolina | Other | P00318488 | RR MEDICARE |
South Carolina | Other | P00801293 | RR MEDICARE |
South Carolina | MEDICAID | 128677 | RR MEDICARE |
South Carolina | Other | 576007863180 | RR MEDICARE |
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