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
Phone: (413) 748-7370
Fax: (413) 748-7221
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801879762 | NPPES |
Massachusetts | MEDICAID | 2062330 |
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