Johnson, L David

Johnson, L David is an individual health care provider with primary practice located at 24 Physicians Dr , Jackson TN 38305-2070. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Johnson, L David can be contacted via phone (731) 661-9825.

Contact Information

Primary practice address
24 Physicians Dr Jackson TN 38305-2070
Phone: (731) 661-9825
Fax: (731) 668-6757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 17211 Tennessee

Profile Details

NPI number 1053410662
LBN Legal business name Johnson, L David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Feb 29th, 2012 - about 12 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 1053410662 NPPES
Tennessee MEDICAID 3025550

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