Johnson, Lenworth N

Johnson, Lenworth N is an individual health care provider with primary practice located at 1 Hoppin St Coro West/Ste 202, Providence RI 02903-4141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Johnson, Lenworth N can be contacted via phone (401) 444-6551.

Contact Information

Primary practice address
1 Hoppin St Coro West/Ste 202 Providence RI 02903-4141
Phone: (401) 444-6551
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X R7N60 Missouri
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD14426 Rhode Island

Profile Details

NPI number 1225086655
LBN Legal business name Johnson, Lenworth N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Oct 22nd, 2013 - about 11 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 1225086655 NPPES
Missouri MEDICAID 202887907
Missouri Other 804021
Missouri Other 9312
Missouri Other 2086330901
Missouri Other 131956

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