Johnson, Michael Douglas

Johnson, Michael Douglas is an individual health care provider with primary practice located at 9924 Midlothian Tpke , Richmond VA 23235-4814. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Johnson, Michael Douglas can be contacted via phone (804) 320-9050.

Contact Information

Primary practice address
9924 Midlothian Tpke Richmond VA 23235-4814
Fax: (804) 320-9048
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 0104000670 Virginia

Profile Details

NPI number 1699777698
LBN Legal business name Johnson, Michael Douglas
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Nov 6th, 2013 - 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 1699777698 NPPES
Virginia Other 070327 ANTHEM

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