Johnson, Pamela Gail
Johnson, Pamela Gail is an sole proprietor health care provider with primary practice located at 466 Linden Ave , Harrodsburg KY 40330-1841. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Johnson, Pamela Gail can be contacted via phone (859) 734-5123.Contact Information
Primary practice address
466 Linden Ave
Harrodsburg KY 40330-1841
Phone: (859) 734-5123
Fax: (859) 734-0664
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 25108 | Kentucky |
Profile Details
| NPI number | 1013977255 |
|---|---|
| LBN Legal business name | Johnson, Pamela Gail |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Feb 11th, 2011 - 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 | 1013977255 | NPPES |
| Kentucky | MEDICAID | 64251085 |
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