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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669529780 | NPPES |
| Pennsylvania | MEDICAID | 102332666 | |
| Pennsylvania | MEDICAID | 0276634 |
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