Johnson, Matthew Shannon

Johnson, Matthew Shannon is an individual health care provider with primary practice located at 2450 Tamiami Trl Ste A , Port Charlotte FL 33952-3922. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Johnson, Matthew Shannon can be contacted via phone (941) 624-2704.

Contact Information

Primary practice address
2450 Tamiami Trl Ste A Port Charlotte FL 33952-3922
Phone: (941) 624-2704
Fax: (941) 627-6066
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 3011 West Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0116026356 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS15650 Florida

Profile Details

NPI number 1659711455
LBN Legal business name Johnson, Matthew Shannon
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2013
Last updated Dec 28th, 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.

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