Johnson, Thomas Brian

Johnson, Thomas Brian is an sole proprietor health care provider with primary practice located at 13681 Doctors Way , Fort Myers FL 33912-4300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Johnson, Thomas Brian can be contacted via phone (239) 343-3292.

Contact Information

Primary practice address
13681 Doctors Way Fort Myers FL 33912-4300
Fax: (239) 343-3695
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME78286 Florida

Profile Details

NPI number 1679510291
LBN Legal business name Johnson, Thomas Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2006
Last updated Jun 15th, 2022 - 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 1679510291 NPPES
Florida MEDICAID 258865000

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