Johnson, Michael D

Johnson, Michael D is an individual health care provider with primary practice located at 410 N State Of Franklin Rd Suite 120, Johnson City TN 37604-6971. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Allopathic & Osteopathic Physicians / Emergency Medicine. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Johnson, Michael D can be contacted via phone (423) 975-2350.

Contact Information

Primary practice address
410 N State Of Franklin Rd Suite 120 Johnson City TN 37604-6971
Phone: (423) 975-2350
Fax: (423) 975-2372
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 940 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 940 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 940 Tennessee

Profile Details

NPI number 1699787721
LBN Legal business name Johnson, Michael D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Feb 10th, 2017 - about 7 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 1699787721 NPPES
Virginia MEDICAID 1699787721
Virginia Other P01038739
Virginia MEDICAID 1519882

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