Johnson, Sidney A

Johnson, Sidney A is an individual health care provider with primary practice located at 2969 Curran Dr N , Jackson MS 39216-4121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Johnson, Sidney A can be contacted via phone (601) 200-3070.

Contact Information

Primary practice address
2969 Curran Dr N Jackson MS 39216-4121
Phone: (601) 200-3070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 10704 Mississippi

Profile Details

NPI number 1497757603
LBN Legal business name Johnson, Sidney A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Feb 13th, 2023 - about 2 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 1497757603 NPPES
Mississippi Other 1497757603 NPI
Mississippi MEDICAID 1961809 NPI
Mississippi MEDICAID 000015534 NPI
Mississippi MEDICAID 0015534 NPI

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