Johnson, Melvin

Johnson, Melvin is an sole proprietor health care provider with primary practice located at 1016 Grand National Blvd , Fort Worth TX 76179-2336. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Johnson, Melvin can be contacted via phone (817) 657-7640.

Contact Information

Primary practice address
1016 Grand National Blvd Fort Worth TX 76179-2336
Phone: (817) 657-7640
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1770974727
LBN Legal business name Johnson, Melvin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2015
Last updated Nov 14th, 2018 - about 6 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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