Johnson, Teddy R

Johnson, Teddy R is an individual health care provider with primary practice located at 680 W Monroe St , Wytheville VA 24382-2240. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Johnson, Teddy R can be contacted via phone (276) 228-2212.

Contact Information

Primary practice address
680 W Monroe St Wytheville VA 24382-2240
Phone: (276) 228-2212
Fax: (276) 228-7835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0103000769 Virginia

Profile Details

NPI number 1073576062
LBN Legal business name Johnson, Teddy R
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Oct 25th, 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 1073576062 NPPES
Virginia Other 101911 ANTHEM
Virginia Other 5442037 ANTHEM
Virginia Other 324212 ANTHEM
Virginia Other 101908 ANTHEM
Virginia Other 9020630 ANTHEM
Virginia Other 324208 ANTHEM

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