Johnson, Vincent Gregory

Johnson, Vincent Gregory is an individual health care provider with primary practice located at 500 W Main St Ste 116 , Babylon NY 11702-3032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Johnson, Vincent Gregory can be contacted via phone (631) 422-6166.

Contact Information

Primary practice address
500 W Main St Ste 116 Babylon NY 11702-3032
Phone: (631) 422-6166
Fax: (631) 622-6266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 100207 Missouri
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 291245 New York
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 291245 New York

Profile Details

NPI number 1447363312
LBN Legal business name Johnson, Vincent Gregory
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Oct 14th, 2022 - about 3 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 1447363312 NPPES
Missouri MEDICAID 243881604
Missouri Other 18469031
Missouri MEDICAID 200007670B

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