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
Phone: (772) 567-6602
Fax: (772) 567-7754
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205809746 | NPPES |
| Florida | Other | 970009579 | RAILROAD MEDICARE PROV# |
| Florida | Other | Y02C0 | RAILROAD MEDICARE PROV# |
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