Johnson, Ronny Carl

Johnson, Ronny Carl is an individual health care provider with primary practice located at 201 Sivley Rd Sw Suite 530, Huntsville AL 35801-5134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Johnson, Ronny Carl can be contacted via phone (256) 265-7480.

Contact Information

Primary practice address
201 Sivley Rd Sw Suite 530 Huntsville AL 35801-5134
Phone: (256) 265-7480
Fax: (256) 265-7481
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 0008023 Alabama

Profile Details

NPI number 1922047018
LBN Legal business name Johnson, Ronny Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Aug 10th, 2015 - about 10 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 1922047018 NPPES
Other 0004070317 AETNA
Other 51514734JOH AETNA
MEDICAID 051514734 AETNA
Other 511-11829 AETNA
MEDICAID 126131 AETNA
Other P00000018 AETNA

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