Johnson, Michael C

Johnson, Michael C is an individual health care provider with primary practice located at 28 Park Ave , Williston VT 05495-9701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Michael C can be contacted via phone (802) 878-1008.

Contact Information

Primary practice address
28 Park Ave Williston VT 05495-9701
Phone: (802) 878-1008
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0420010982 Vermont

Profile Details

NPI number 1336158252
LBN Legal business name Johnson, Michael C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Nov 24th, 2014 - 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 1336158252 NPPES
New York MEDICAID 02667614
New York MEDICAID 1011709

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