Johnson, John M

Johnson, John M is an individual health care provider with primary practice located at 150 Duncan Rd , Buckeye WV 24924-9037. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Johnson, John M can be contacted via phone (304) 799-7400.

Contact Information

Primary practice address
150 Duncan Rd Buckeye WV 24924-9037
Fax: (304) 799-2276
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 1041 West Virginia

Profile Details

NPI number 1093704678
LBN Legal business name Johnson, John M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated May 26th, 2020 - about 5 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 1093704678 NPPES
West Virginia Other 001721238 BC
West Virginia MEDICAID 0051755000 BC

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