Johnson, Wesley W

Johnson, Wesley W is an individual health care provider with primary practice located at 1775 Alysheba Way Ste 201, Lexington KY 40509-2279. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Wesley W can be contacted via phone (859) 278-5007.

Contact Information

Primary practice address
1775 Alysheba Way Ste 201 Lexington KY 40509-2279
Phone: (859) 278-5007
Fax: (859) 278-6867
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38033 Kentucky

Profile Details

NPI number 1619972171
LBN Legal business name Johnson, Wesley W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Jan 22nd, 2008 - about 16 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 1619972171 NPPES
Kentucky MEDICAID 64092083

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