Johnson, Martin Lewis
Johnson, Martin Lewis is an individual health care provider with primary practice located at 3633 Central Ave Suite N, Hot Springs AR 71913-6475. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Johnson, Martin Lewis can be contacted via phone (501) 623-6100.Contact Information
Primary practice address
3633 Central Ave Suite N
Hot Springs AR 71913-6475
Phone: (501) 623-6100
Fax: (501) 623-6187
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 018949 | Louisiana |
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | M6214 | Texas |
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | 15320 | Mississippi |
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | E-5113 | Arkansas |
Profile Details
NPI number | 1225023773 |
---|---|
LBN Legal business name | Johnson, Martin Lewis |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 12th, 2005 |
Last updated | Nov 27th, 2023 - about last year |
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 | 1225023773 | NPPES |
Arkansas | MEDICAID | 166140001 | |
Arkansas | Other | E5113 |
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