Johnson, Thomas Bryan

Johnson, Thomas Bryan is an individual health care provider with primary practice located at 789 Central Ave 3Rd Floor, Dover NH 03820-2526. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Johnson, Thomas Bryan can be contacted via phone (603) 740-2366.

Contact Information

Primary practice address
789 Central Ave 3Rd Floor Dover NH 03820-2526
Phone: (603) 740-2366
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 223207 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 12135 New Hampshire

Profile Details

NPI number 1467433342
LBN Legal business name Johnson, Thomas Bryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Nov 20th, 2012 - about 12 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 1467433342 NPPES
Massachusetts MEDICAID 2104067
Massachusetts MEDICAID 30204231

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