Johnson, Paul B

Johnson, Paul B is an individual health care provider with primary practice located at 1923 Mount Vernon St , Philadelphia PA 19130-3213. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Johnson, Paul B can be contacted via phone (917) 648-7096.

Contact Information

Primary practice address
1923 Mount Vernon St Philadelphia PA 19130-3213
Phone: (917) 648-7096
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD436071 Pennsylvania
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X 25MA09004800 New Jersey
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X MD436071 Pennsylvania

Profile Details

NPI number 1669529780
LBN Legal business name Johnson, Paul B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Aug 9th, 2021 - about 4 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 1669529780 NPPES
Pennsylvania MEDICAID 102332666
Pennsylvania MEDICAID 0276634

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