Johnson, Nathan Andrew

Johnson, Nathan Andrew is an individual health care provider with primary practice located at 659 Boulevard St , Dover OH 44622-2026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Johnson, Nathan Andrew can be contacted via phone (330) 364-0844.

Contact Information

Primary practice address
659 Boulevard St Dover OH 44622-2026
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35.085700 Ohio

Profile Details

NPI number 1932216561
LBN Legal business name Johnson, Nathan Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Jun 8th, 2009 - about 15 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 1932216561 NPPES
Ohio MEDICAID 2607825

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