Johnson, Timothy A

Johnson, Timothy A is an individual health care provider with primary practice located at 271 Carew Street , Springfield MA 01104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Johnson, Timothy A can be contacted via phone (413) 748-7370.

Contact Information

Primary practice address
271 Carew Street Springfield MA 01104
Fax: (413) 748-7221
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 220236 Massachusetts

Profile Details

NPI number 1801879762
LBN Legal business name Johnson, Timothy A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Apr 10th, 2014 - about 11 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 1801879762 NPPES
Massachusetts MEDICAID 2062330

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