Johnson, Michael George

Johnson, Michael George is an sole proprietor health care provider with primary practice located at 28 Crescent St , Middletown CT 06457-3654. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Johnson, Michael George can be contacted via phone (860) 358-6293.

Contact Information

Primary practice address
28 Crescent St Middletown CT 06457-3654
Phone: (860) 358-6293
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 052808 Connecticut
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 052808 Connecticut

Profile Details

NPI number 1457514549
LBN Legal business name Johnson, Michael George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2008
Last updated Nov 21st, 2023 - about last year

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 1457514549 NPPES
Connecticut MEDICAID 008053944

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