Johnson, Robert A

Johnson, Robert A is an individual health care provider with primary practice located at 7945 Wolf River Boulevard , Germantown TN 38138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Johnson, Robert A can be contacted via phone (901) 683-0055.

Contact Information

Primary practice address
7945 Wolf River Boulevard Germantown TN 38138
Phone: (901) 683-0055
Fax: (901) 922-6701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 13100 Mississippi
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X N8169 Arkansas
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 21289 Tennessee

Profile Details

NPI number 1245262336
LBN Legal business name Johnson, Robert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jul 10th, 2023 - about last year

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 1245262336 NPPES
Other 4197600 AETNA
Other 96185 AETNA
MEDICAID 203153812 AETNA
MEDICAID 00015569 AETNA
MEDICAID 119057001 AETNA
MEDICAID 3058486 AETNA
Other 4064749 AETNA

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