Johnson, Thomas Wesley

Johnson, Thomas Wesley is an individual health care provider with primary practice located at 3991 Dutchmans Ln Ste 310, Louisville KY 40207-4700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Johnson, Thomas Wesley can be contacted via phone (502) 899-6782.

Contact Information

Primary practice address
3991 Dutchmans Ln Ste 310 Louisville KY 40207-4700
Phone: (502) 899-6782
Fax: (502) 899-6783
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 38102 Kentucky

Profile Details

NPI number 1154396521
LBN Legal business name Johnson, Thomas Wesley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Jan 19th, 2021 - about 3 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 1154396521 NPPES
Kentucky MEDICAID 64069156
Kentucky Other 000000672012
Kentucky MEDICAID 200378110
Kentucky Other 50029990
Kentucky Other P00889604
Kentucky Other 000052153Y

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