Johnson, Mitchell W

Johnson, Mitchell W is an individual health care provider with primary practice located at 3770 7Th Ter #101, Vero Beach FL 32960-6553. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Johnson, Mitchell W can be contacted via phone (772) 567-6602.

Contact Information

Primary practice address
3770 7Th Ter #101 Vero Beach FL 32960-6553
Fax: (772) 567-7754
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA 2767 Florida

Profile Details

NPI number 1205809746
LBN Legal business name Johnson, Mitchell W
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jan 26th, 2010 - about 14 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 1205809746 NPPES
Florida Other 970009579 RAILROAD MEDICARE PROV#
Florida Other Y02C0 RAILROAD MEDICARE PROV#

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