Johnson, Thomas Gregory
Johnson, Thomas Gregory is an individual health care provider with primary practice located at 311 N 4Th St , Oakland MD 21550-1371. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Thomas Gregory can be contacted via phone (301) 334-8171.Contact Information
Primary practice address
311 N 4Th St
Oakland MD 21550-1371
Phone: (301) 334-8171
Fax: (301) 334-1807
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D15333 | Maryland |
Profile Details
| NPI number | 1285627604 |
|---|---|
| LBN Legal business name | Johnson, Thomas Gregory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Apr 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285627604 | NPPES |
| Maryland | MEDICAID | 410201100 | |
| Maryland | MEDICAID | 0049023000 |
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