Johnson, Michael David
Johnson, Michael David is an sole proprietor health care provider with primary practice located at 1201 11Th Ave S , Birmingham AL 35205-3423. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Johnson, Michael David can be contacted via phone (205) 930-7100.Contact Information
Primary practice address
1201 11Th Ave S
Birmingham AL 35205-3423
Phone: (205) 930-7100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | 32454 | Alabama |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 32454 | Alabama |
Profile Details
| NPI number | 1275748428 |
|---|---|
| LBN Legal business name | Johnson, Michael David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2007 |
| Last updated | Feb 1st, 2024 - about 7 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275748428 | NPPES |
| Washington | Other | 0293209 | L&I |
| Washington | MEDICAID | 1275748428 | L&I |
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