Johnson, Patricia A

Johnson, Patricia A is an individual health care provider with primary practice located at 509 W University Ave , Urbana IL 61801-2530. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as her primary health care specialty. Johnson, Patricia A can be contacted via phone (217) 383-6636.

Contact Information

Primary practice address
509 W University Ave Urbana IL 61801-2530
Fax: (217) 383-3466
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 036056893 Illinois

Profile Details

NPI number 1467477869
LBN Legal business name Johnson, Patricia A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated May 26th, 2015 - about 9 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 1467477869 NPPES
Illinois Other 130007393 RAILROAD PIN

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