Johnson, Timothy W
Johnson, Timothy W is an individual health care provider with primary practice located at 1111 Ronald Reagan Pkwy , Avon IN 46123-7085. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Johnson, Timothy W can be contacted via phone (317) 472-7317.Contact Information
Primary practice address
1111 Ronald Reagan Pkwy
Avon IN 46123-7085
Phone: (317) 472-7317
Fax: (317) 870-0499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10001198 | Indiana |
Profile Details
| NPI number | 1033425145 |
|---|---|
| LBN Legal business name | Johnson, Timothy W |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2010 |
| Last updated | Aug 26th, 2010 - about 15 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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