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
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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