Johnson, Peter A
Johnson, Peter A is an individual health care provider with primary practice located at 112 Medical Cir , Winchester VA 22601-3322. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Johnson, Peter A can be contacted via phone (540) 542-1995.Contact Information
Primary practice address
112 Medical Cir
Winchester VA 22601-3322
Phone: (540) 542-1995
Fax: (540) 542-1996
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0101034967 | Virginia |
Profile Details
| NPI number | 1306873906 |
|---|---|
| LBN Legal business name | Johnson, Peter A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Jan 18th, 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 | 1306873906 | NPPES |
| Virginia | MEDICAID | 006503586 | |
| Virginia | Other | 1154349975 | |
| Virginia | Other | C09789 |
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