Johnson, Michael D.

Johnson, Michael D. is an individual health care provider with primary practice located at 3533 Southern Blvd Ste 5200 , Kettering OH 45429-1275. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Johnson, Michael D. can be contacted via phone (937) 435-8663.

Contact Information

Primary practice address
3533 Southern Blvd Ste 5200 Kettering OH 45429-1275
Phone: (937) 435-8663
Fax: (937) 435-8966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 35092049 Ohio

Profile Details

NPI number 1043482797
LBN Legal business name Johnson, Michael D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2008
Last updated Jul 15th, 2021 - about 5 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 1043482797 NPPES
Ohio MEDICAID 2849412

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