Johnson, Roderick G

Johnson, Roderick G is an individual health care provider with primary practice located at 901 Leighton Ave Ste. 702, Anniston AL 36207-5700. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Johnson, Roderick G can be contacted via phone (256) 237-1624.

Contact Information

Primary practice address
901 Leighton Ave Ste. 702 Anniston AL 36207-5700
Fax: (256) 238-0555
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 3531 Alabama

Profile Details

NPI number 1417920786
LBN Legal business name Johnson, Roderick G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jul 8th, 2007 - about 17 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 1417920786 NPPES
Alabama Other 51003265 BLUE CROSS BLUE SHIELD
Alabama Other 14274 BLUE CROSS BLUE SHIELD

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