Johnson, Tim D
Johnson, Tim D is an individual health care provider with primary practice located at 6220 Perkins Road , Baton Rouge LA 70808-4120. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Johnson, Tim D can be contacted via phone (225) 768-7777.Contact Information
Primary practice address
6220 Perkins Road
Baton Rouge LA 70808-4120
Phone: (225) 768-7777
Fax: (225) 214-3400
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 016429 | Louisiana |
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 016429 | Louisiana |
Profile Details
NPI number | 1437181351 |
---|---|
LBN Legal business name | Johnson, Tim D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 7th, 2006 |
Last updated | May 3rd, 2019 - about 6 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 | 1437181351 | NPPES |
Louisiana | MEDICAID | 1361101 |
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