Johnson, Vincent Bernard
Johnson, Vincent Bernard is an individual health care provider with primary practice located at 3310 Magnolia St , Orangeburg SC 29115-1466. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Johnson, Vincent Bernard can be contacted via phone (803) 531-6900.Contact Information
Primary practice address
3310 Magnolia St
Orangeburg SC 29115-1466
Phone: (803) 531-6900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 19182 | South Carolina |
Profile Details
| NPI number | 1053717082 |
|---|---|
| LBN Legal business name | Johnson, Vincent Bernard |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 19th, 2014 |
| Last updated | Jun 20th, 2023 - about 2 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 | 1053717082 | NPPES |
| South Carolina | MEDICAID | NP3041 |
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