Johnson, John T.
Johnson, John T. is an individual health care provider with primary practice located at 550 Redstone Ave W Suite 200, Crestview FL 32536-6430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, John T. can be contacted via phone (850) 682-6122.Contact Information
Primary practice address
550 Redstone Ave W Suite 200
Crestview FL 32536-6430
Phone: (850) 682-6122
Fax: (850) 682-5917
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME49715 | Florida |
Profile Details
NPI number | 1437128469 |
---|---|
LBN Legal business name | Johnson, John T. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 14th, 2006 |
Last updated | Jun 29th, 2010 - about 14 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 | 1437128469 | NPPES |
Florida | MEDICAID | 048472500 |
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